Individual provider Active NPI

Marta Milagros Puentes Marrero, DMD

  • General Practice Dentistry
  • Pembroke Pines, FL
National Provider Identifier
1598459729
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN27863 Issued in FL
Practice address
12251 Taft St Ste 200
Pembroke Pines, FL 33026-1956
Phone
(954) 441-8778
NPI assigned
Jun 8, 2023
Last updated
Nov 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN27863 FL Primary

Addresses

Primary practice location

12251 Taft St Ste 200
Pembroke Pines, FL 33026-1956

Mailing address

14270 SW 68TH St
Miami, FL 33183-2150
Phone (786) 623-9879

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN27863FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
True Dentistry Inc General Practice CurrentSince Jun 11, 2023 Accepting new patients
Floridan Dental at Pines, PLLC General Practice PastSince Jun 11, 2023 Accepting new patients

Locations

12251 Taft St
Ste 200
Pembroke Pines, FL 33026
Phone (954) 441-8778

Organizations & group practices 2

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": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1598459729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14270 SW 68TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331832150",
            "telephone_number": "786-623-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12251 TAFT ST STE 200",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330261956",
            "telephone_number": "954-441-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUENTES MARRERO",
        "first_name": "MARTA",
        "middle_name": "MILAGROS",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN27863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.