Yalissy Quintero Martinez, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN29512 Issued in FL

Practice address

5340 E 131St Ave Unit 104
Temple Terrace, FL 33617-1244

Phone

(813) 297-9887

NPI assigned

Feb 24, 2022

Last updated

Sep 26, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in FL

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

Dentist

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Denture Place, LLC

  dba The Denture Place

  • General Practice Dentistry
  • Tampa, FL
  • NPI 1851981195
  Medicare reassignment NPD
• Quintero Dental Temple Terrace PLLC

  • Dental Clinic/Center
  • Temple Terrace, FL
  • NPI 1134035116
  NPD (past) Authorized official

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790380800000",
    "number": "1255087557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 COURTNEY DR",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336177827",
            "telephone_number": "813-297-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 E 131ST AVE UNIT 104",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336171244",
            "telephone_number": "813-297-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTERO MARTINEZ",
        "first_name": "YALISSY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-24",
        "last_updated": "2026-09-26",
        "certification_date": "2026-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN29512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Pryor, DPT
• Publix Super Markets Inc (Publix Pharmacy #0685)
• Publix Super Markets Inc (Publix Pharmacy #0311)
• Puzzle Pieces Support Services, LLC
• Quintero Dental Temple Terrace PLLC
• Radiance Pain Institute
• Craig Stanton Radnay
• Matthew Radwanski, DDS
• Saima Rafiq, D.O.
• Jeffrey E Raheb, DC

• General Practice Dentistry in Temple Terrace, FL
• Providers in Temple Terrace, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2026; 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.