Active NPI
Natalia Del Pilar Nunez Martinez, D.M.D.
- Oral and Maxillofacial Surgery (Dentist)
- Lady Lake, FL
National Provider Identifier
1477913960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- FN0138366
- 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, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160914000008 | MA | Order and Referring Only - Oral Surgery | 3476849688 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FN0138366 | FL | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proms LLC | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| Troxler & Smith D.D.S PA | Past | Accepting new patients | |
| Barton R. Blumberg, D.M.D., P.a. | Past | Accepting new patients | |
| Dental Implant Specialists of Florida, PA | Oral and Maxillofacial Surgery | Past | 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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Guaynabo, PR
- NPI 1871272740
-
- Oral and Maxillofacial Surgery Clinic/Center
- The Villages, FL
- NPI 1346443355
-
- Oral and Maxillofacial Surgery (Dentist)
- Lakeland, FL
- NPI 1376238469
-
- Oral and Maxillofacial Surgery Clinic/Center
- Bradenton, FL
- NPI 1134422744
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
- Ryan Alexander Nicholas, O.D.
- Norman S Novis MD PA
- Northland Hearing Centers, Inc. (All About Hearing Aids)
- Norman S Novis, MD
- Novu Dermatology & Internal Medicine LLC
- Karin A O'Brien, APRN
- Rachelle Castroverde Oba-Dioso, PT
- Ocala Oncology Center PL (Florida Cancer Affiliates-Ocala)
- Rosendo Odronia Odevilas, PT
- Olcott Spine Institute Incorporated (Olcott Chiropractic and Wellness Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.