Carlos J Martinez Archilla

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

2226 Issued in PR

Practice address

623 Ave la Ceiba
Rovira Office Park, Suite 101
Ponce, PR 00717-1902

Phone

(787) 844-7500

Fax

(787) 844-7880

NPI assigned

Mar 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245888000000",
    "number": "1649396367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 AVE LA CEIBA",
            "address_2": "ROVIRA OFFICE PARK SUITE 101",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171902",
            "telephone_number": "787-844-7500",
            "fax_number": "787-844-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 AVE LA CEIBA",
            "address_2": "ROVIRA OFFICE PARK, SUITE 101",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171902",
            "telephone_number": "787-844-7500",
            "fax_number": "787-844-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ ARCHILLA",
        "first_name": "CARLOS",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2009-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PR",
            "license": "2226",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PR",
            "license": "2226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paola Michell Marrero
• Rosa Haydee Marrero, RN
• Marta I Morales Febles
• Kyarangelie Marti Torres
• Maria Teresa Marti, MSW
• Raul Francisco Martinez Berrios
• Jorge A. Martinez Colon, M.D.
• Pedro R Martinez Maldonado, R.N.
• Jorge M Martinez Otero
• Zulmari Martinez Resto

• Orthodontics and Dentofacial Orthopedics Dentistry in Ponce, PR
• Providers in Ponce, PR by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; 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.