Luis E Martinez, DMD PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN 10568 Issued in FL

Practice address

3770 16TH St N
St Petersburg, FL 33704-1020

Phone

(727) 526-3868

Fax

(727) 527-1921

NPI assigned

Jan 3, 2007

Last updated

Jul 21, 2022By 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 FL

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

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Luis E. Martinez, D.M.D., P.a.

  • Dentist
  • St Petersburg, FL
  • NPI 1366884801
  NPD Authorized official

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1528125010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3770 16TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337041020",
            "telephone_number": "727-526-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3770 16TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337041020",
            "telephone_number": "727-526-3868",
            "fax_number": "727-527-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "LUIS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DMD PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DEN 10568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maydelin Martinez-Blanco, DDS
• Valerie Martinez-Torres, MD
• Alicia Martinez, SLP
• Betsey Ivette Martinez, PSYD
• Jaylin Soraya Martinez
• Richard M Martinez, M.D.
• Stephanie Martinez
• Chidi Emmanuel Martins, MD
• Nashlie Martoral
• Mary Kathryn Parham (Oasis Health Online LLC)

• General Practice Dentistry in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.