Individual provider Active NPI

Natalia Del Pilar Nunez Martinez, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Lady Lake, FL
National Provider Identifier
1477913960
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
FN0138366 Issued in FL
Practice address
1503 Buenos Aires Blvd Ste 190
Lady Lake, FL 32159-6822
Phone
(352) 430-2100
NPI assigned
Feb 26, 2016
Last updated
Mar 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X FN0138366 FL Primary

Addresses

Primary practice location

1503 Buenos Aires Blvd Ste 190
Lady Lake, FL 32159-6822

Mailing address

PO Box 365067
Medical Sciences Campus
San Juan, PR 00936-5067
Phone (787) 758-2525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20160914000008 MA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3476849688

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
FN0138366FLMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Proms LLC Oral and Maxillofacial Surgery Current Accepting new patients
Troxler & Smith D.D.S PA PastSince Aug 1, 2021 Accepting new patients
Barton R. Blumberg, D.M.D., P.a. PastSince Mar 5, 2023 Accepting new patients
Dental Implant Specialists of Florida, PA Oral and Maxillofacial Surgery PastSince Mar 5, 2023 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1477913960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365067",
            "address_2": "MEDICAL SCIENCES CAMPUS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009365067",
            "telephone_number": "787-758-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 BUENOS AIRES BLVD STE 190",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321596822",
            "telephone_number": "352-430-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ MARTINEZ",
        "first_name": "NATALIA",
        "middle_name": "DEL PILAR",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-26",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "FN0138366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lady Lake, FL

Sources for this page

Verify at the official NPI Registry.