Individual provider Active NPI

Daniel Martir, DMD

  • Prosthodontics
  • Mayaguez, PR
National Provider Identifier
1639596463
Registry record updated Aug 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
33738 Issued in TX
Practice address
549 Calle Las Caiseas
Mayaguez, PR 00682-5965
Phone
(787) 319-8061
NPI assigned
Mar 18, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 33738 TX Primary
Dentist 122300000X 33738 TX
Dentist 122300000X 3165 PR

Addresses

Primary practice location

549 Calle Las Caiseas
Mayaguez, PR 00682-5965

Mailing address

8350 Tavern PT
San Antonio, TX 78254-5579
Phone (787) 319-8061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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
I20150312000665 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7416273396

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3165PRMDPsychologist
33738TXMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787443200000",
    "number": "1639596463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8350 TAVERN PT",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782545579",
            "telephone_number": "787-319-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 CALLE LAS CAISEAS",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006825965",
            "telephone_number": "787-319-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIR",
        "first_name": "DANIEL",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-18",
        "last_updated": "2026-08-23",
        "certification_date": "2026-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "33738",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "33738",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "3165",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.