Healthcare Provider Details

I. General information

NPI: 1336053644
Provider Name (Legal Business Name): MVP MIAMI, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13905 SW 90TH AVE APT E109
MIAMI FL
33176-7138
US

IV. Provider business mailing address

13905 SW 90TH AVE APT E109
MIAMI FL
33176-7138
US

V. Phone/Fax

Practice location:
  • Phone: 305-342-2717
  • Fax:
Mailing address:
  • Phone: 305-342-2717
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number StateNULL

VIII. Authorized Official

Name: YAMILE MARIA MARTINEZ
Title or Position: CEO
Credential:
Phone: 305-342-2717