Individual provider Active NPI

Aldo Yonate Del Sol Martinez, DMD

  • Pediatric Dentistry
  • Bradenton, FL
National Provider Identifier
1376042713
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN24036 Issued in FL
Practice address
11649 Sr 70 East
Bradenton, FL 34202
Phone
(941) 200-3640
NPI assigned
Feb 11, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DN24036 FL Primary

Addresses

Primary practice location

11649 Sr 70 East
Bradenton, FL 34202

Mailing address

9334 Cerulean Dr Apt 304
Riverview, FL 33578-4777
Phone (502) 708-7484

Other practice location 1

4326 Park Blvd N Ste C
Pinellas Park, FL 33781-3555
Phone (727) 544-5345

Other practice location 2

313 S Lakewood Dr
Brandon, FL 33511-2815
Phone (813) 630-3636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN24036FLMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1518307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1376042713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9334 CERULEAN DR APT 304",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335784777",
            "telephone_number": "502-708-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11649 SR 70 EAST",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34202",
            "telephone_number": "941-200-3640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4326 Park Blvd N Ste C",
            "address_purpose": "LOCATION",
            "city": "Pinellas Park",
            "state": "FL",
            "postal_code": "337813555",
            "country_code": "US",
            "telephone_number": "727-544-5345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "313 S Lakewood Dr",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335112815",
            "country_code": "US",
            "telephone_number": "813-630-3636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEL SOL MARTINEZ",
        "first_name": "ALDO",
        "middle_name": "YONATE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-11",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN24036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.