Rafael Martins Afonso Pereira, DDS, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN30764 Issued in FL

Practice address

11512 Lake Mead Ave Unit 532
Jacksonville, FL 32256-9733

Phone

(904) 683-4781

NPI assigned

Jun 7, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Rafael Pereira Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• A. Sayed DDS PC

  • Customized Equipment (DME)
  • Birmingham, MI
  • NPI 1518011634

  Periodontics

  NPD
• Jacksonville Dental Specialists

  • Prosthodontics
  • Jacksonville, FL
  • NPI 1568915387

  Periodontics

  NPD (past)

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1407540776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11512 LAKE MEAD AVE UNIT 532",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569733",
            "telephone_number": "904-683-4781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11512 LAKE MEAD AVE UNIT 532",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569733",
            "telephone_number": "904-683-4781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINS AFONSO PEREIRA",
        "first_name": "RAFAEL",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-07",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN30764",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN30764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAFAEL",
            "last_name": "PEREIRA",
            "credential": "DDS, MS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tammy Pruitt Martinez, PA-C
• Tyler Martinez, DO
• Zophia Isabelle Martinez, D.O.
• Christina Leeann Martino
• Martin Martino, MD
• Martins Angel Hands LLC
• Gilon Marts
• Chelsy Marty, M.D.
• Patrick Todd Martyn, B.A.
• Blake Autry Martz, DO

• Periodontics in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; 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.