Jan Martinez

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3456 Issued in PR

Practice address

557B Calle Julian Rivera
Ceiba, PR 00735

Phone

(787) 885-0560

NPI assigned

Feb 16, 2023

Last updated

Sep 10, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eme Dental Clinic

  • Dental Clinic/Center
  • San Juan, PR
  • NPI 1376226449
  NPD Authorized official
• Cavity Repair LLC

  • Dental Clinic/Center
  • Ceiba, PR
  • NPI 1689043531
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694304000000",
    "number": "1144928433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 URB LA SERRANIA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007251809",
            "telephone_number": "787-365-8744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557B CALLE JULIAN RIVERA",
            "city": "CEIBA",
            "state": "PR",
            "postal_code": "00735",
            "telephone_number": "787-885-0560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1453 Ave San Ignacio Unit 2",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009214718",
            "country_code": "US",
            "telephone_number": "787-792-1391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-09-10",
        "certification_date": "2023-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "3456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwin Antonio Laboy, PHARMACY TECH
• Edwin E Lafontaine, DMD
• Zoryleen Llanos Ferrer
• Wilmary Madera
• Carlos I Martinez, D.M.D.
• Elba M Matos Millan, MS
• Maymi Medical Industries LLC
• Emilio Maymi
• Mayor Medical Health Services, Inc.
• Municipio de Ceiba

• General Practice Dentistry in Ceiba, PR
• Providers in Ceiba, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.