Carlos I Martinez, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2046 Issued in PR

Practice address

Calle Julian Rivera
#557 B
Ceiba, PR 00735

Phone

(787) 885-0560

Fax

(787) 885-0560

NPI assigned

Jan 24, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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 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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396890935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE JULIAN RIVERA",
            "address_2": "#557 B",
            "city": "CEIBA",
            "state": "PR",
            "postal_code": "00735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE JULIAN RIVERA",
            "address_2": "#557 B",
            "city": "CEIBA",
            "state": "PR",
            "postal_code": "00735",
            "telephone_number": "787-885-0560",
            "fax_number": "787-885-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "CARLOS",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laboratorio Clinico Ceibeno LLC
• Edwin Antonio Laboy, PHARMACY TECH
• Edwin E Lafontaine, DMD
• Zoryleen Llanos Ferrer
• Wilmary Madera
• Jan Martinez
• Elba M Matos Millan, MS
• Maymi Medical Industries LLC
• Emilio Maymi
• Mayor Medical Health Services, Inc.

• 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 Jul 8, 2007; 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.