Miguel Eugenio Martin, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1955 Issued in PR

Practice address

223 Calle Barbosa
Las Piedras, PR 00771-2927

Phone

(787) 236-7967

NPI assigned

Jan 15, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396896619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COND PLAZA SUCHVILLE",
            "address_2": "APT 315",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009597272",
            "telephone_number": "787-783-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 CALLE BARBOSA",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007712927",
            "telephone_number": "787-236-7967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MIGUEL",
        "middle_name": "EUGENIO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Alberto Maldonado, M.D.
• Mariely Maldonado, CCC- SLP
• Maria Palou Physiatric Services, PSC
• Crystal Marrero, MSW
• Miriam Torres Marrero, DMD
• Grace Joy Martinez Jones
• Luz C Martinez, MSW
• Sandra Martinez
• Medi Job, Inc.
• Medical Service LLC

• General Practice Dentistry in Las Piedras, PR
• Providers in Las Piedras, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.