Maydelin Martinez-Blanco, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN20087 Issued in FL

Practice address

1799 66TH St N
Saint Petersburg, FL 33710-5537

Phone

(727) 343-2438

Fax

(727) 381-3191

NPI assigned

Jul 11, 2012

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Live Better Health Center, LLC

  • Health Service Clinic/Center
  • Pinellas Park, FL
  • NPI 1669757738
  Medicare reassignment
• LBH Med Group LLC

  • Health Service Clinic/Center
  • Pinellas Park, FL
  • NPI 1639620651
  NPD (past)

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1639434020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4423 PARK BLVD N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813540",
            "telephone_number": "727-827-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 66TH ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337105537",
            "telephone_number": "727-343-2438",
            "fax_number": "727-381-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ-BLANCO",
        "first_name": "MAYDELIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN20087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Martin, FNP-C
• Philip Joseph Martin, M.D.
• Phyllis Jean Martin, BA, CPRP
• Renee Martin, CF-SLP
• Nathalia Martinez Tobar, MD
• Valerie Martinez-Torres, MD
• Alicia Martinez, SLP
• Betsey Ivette Martinez, PSYD
• Jaylin Soraya Martinez
• Luis E Martinez, DMD PA

• General Practice Dentistry in Saint Petersburg, FL
• Providers in Saint 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 Jun 28, 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.