Dr Carmen M De Leon-martinez, MD - Medicare Family Medicine in Hialeah, FL

  1. Home
  2. Family Medicine
  3. FL
  4. Hialeah
Dr Carmen M De Leon-martinez, MD is a medicare enrolled "Family Medicine" physician in Hialeah, Florida. Her current practice location is 18610 Nw 87th Ave Ste 101, Hialeah, Florida. You can reach out to her office (for appointments etc.) via phone at (305) 829-5000.

Dr Carmen M De Leon-martinez is licensed to practice in Puerto Rico (license number 13338) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1134198112.

Contact Information

Dr Carmen M De Leon-martinez, MD
18610 Nw 87th Ave Ste 101,
Hialeah, FL 33015-3519
(305) 829-5000
Not Available

Map and Direction




Physician's Profile

Full NameDr Carmen M De Leon-martinez
GenderFemale
SpecialityFamily Medicine
Location18610 Nw 87th Ave Ste 101, Hialeah, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134198112
  • Provider Enumeration Date: 03/14/2006
  • Last Update Date: 04/26/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6406156025
  • Enrollment ID: I20151203000059

Medical Identifiers

Medical identifiers for Dr Carmen M De Leon-martinez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134198112NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 13338 (Puerto Rico)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Carmen M De Leon-martinez allows following entities to bill medicare on her behalf.
Entity NameBroward Community And Family Health Centers Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730121435
PECOS PAC ID: 9032170345
Enrollment ID: O20041020000942
Entity NameGuidewell Sanitas I, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396124046
PECOS PAC ID: 9537447107
Enrollment ID: O20161102001073

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Carmen M De Leon-martinez is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Carmen M De Leon-martinez, MD
5010 Hollywood Blvd 100b,
Hollywood, FL 33021-6557

Ph: (954) 967-0028		Dr Carmen M De Leon-martinez, MD
18610 Nw 87th Ave Ste 101,
Hialeah, FL 33015-3519

Ph: (305) 829-5000

Reviews and Comments


Family Medicine Doctors in Hialeah, FL

Yissel Jorge Puig,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 445 E 25th St, Hialeah, FL 33013
Phone: 305-624-5366    
Mislaidy Lopez,
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 714 E 18th St, Hialeah, FL 33013
Phone: 305-308-2148    
Dr. Orlando C. Moreno, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4835 E 4th Ave, Suite B, Hialeah, FL 33013
Phone: 786-431-1376    Fax: 786-431-1377
Dr. Richard Gonzalez Perez, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2020 W 64th St, Hialeah, FL 33016
Phone: 305-642-5366    
Dr. Olga Nydia Miranda Vicente, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 445 E 25th St, Hialeah, FL 33013
Phone: 305-642-5366    Fax: 305-644-6407
Dr. Domingo Gomez, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 415 W 49th St Ste 1, Hialeah, FL 33012
Phone: 305-364-3404    Fax: 305-364-3433
Dr. Adriana Hurtado, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3233 Palm Ave, Hialeah, FL 33012
Phone: 305-826-0660    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.