Luis Angel Martinez Ortiz

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

3574 Issued in PR

Practice address

43 Calle Baldorioty
Coamo, PR 00769-3120

Phone

(787) 634-4237

NPI assigned

Jun 29, 2021

Last updated

Aug 21, 2025By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Periodontics

Education

University of Puerto Rico School of Dentistry, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Lmo Perioimplants LLC

  • Dental Clinic/Center
  • Coamo, PR
  • NPI 1093692881
  Medicare reassignment NPD Authorized official
• MVHS Inc

  dba Mohawk Valley Health System Inc

  • Community/Retail Pharmacy
  • Utica, NY
  • NPI 1306573753
  NPD (past)

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1174193494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 4 BOX 6092",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007699663",
            "telephone_number": "787-634-4237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 CALLE BALDORIOTY",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007693120",
            "telephone_number": "787-634-4237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ ORTIZ",
        "first_name": "LUIS",
        "middle_name": "ANGEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-29",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PR",
            "license": "3574",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Enid Luna, MPYC
• Maritza Maldonado
• Raul B Manes Sr., MD LIC 4548 BOARD OF
• Hector R Marrero Luna, MD
• Frances M Marrero Pagan
• Aixa Michely Martinez Rodriguez
• Lesvia Y Martinez-Alvarado, PSYD
• Ana Martinez, PT
• Iliana Martinez
• Jorge C Martinez, M.D.

• Periodontics in Coamo, PR
• Providers in Coamo, PR by specialty
• Periodontics in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.