Mariangel Fernandez-Martinez, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 19079 Issued in FL

Practice address

8903 Glades Rd Ste A7
Boca Raton, FL 33434-4023

Phone

(352) 727-8547

NPI assigned

Aug 1, 2010

Sex

Female

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 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

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 and National Provider Directory roles.

• South Pearl Dental, Inc

  • General Practice Dentistry
  • Boca Raton, FL
  • NPI 1396377172
  NPD Authorized official

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

{
    "created_epoch": "1280620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1376857441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8665 VIA ANCHO RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334332227",
            "telephone_number": "352-727-8547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8903 GLADES RD STE A7",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334344023",
            "telephone_number": "352-727-8547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1922 Lake Worth Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Worth",
            "state": "FL",
            "postal_code": "334614228",
            "country_code": "US",
            "telephone_number": "352-727-8547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ-MARTINEZ",
        "first_name": "MARIANGEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-01",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN19079",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 19079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abbey Grace Ferguson, M.S., CCC-SLP
• Sheryl A. Ferguson, PSY.D.
• Jillian Ferland, APRN
• Mariela Fernandez Gonzalez
• Diana Marcela Fernandez Grande, FNP
• Alisa Fernandez, LCSW
• Arianna Fernandez, MS, LMHC
• Romeo K Fernandez, MD
• Fernando M Lopez-Ivern MD Inc
• Fernando T Garcia MD PA

• General Practice Dentistry in Boca Raton, FL
• Providers in Boca Raton, 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 Feb 10, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.