Mireily Martinez, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2813 Issued in PR

Practice address

2E19 Ave Luis Munoz Marin
Villas del Rey Segunda Seccion
Caguas, PR 00725-6245

Phone

(787) 697-1271

Fax

(787) 961-5166

NPI assigned

Apr 2, 2008

Sex

Female

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710028800000",
    "number": "1669645313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8044",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007268044",
            "telephone_number": "787-697-1271",
            "fax_number": "787-961-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2E19 AVE LUIS MUNOZ MARIN",
            "address_2": "VILLAS DEL REY SEGUNDA SECCION",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007256245",
            "telephone_number": "787-697-1271",
            "fax_number": "787-961-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MIREILY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-02",
        "last_updated": "2024-03-10",
        "certification_date": "2024-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2813",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "054320",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lournet Martinez, MS, OTR/L
• Luisa M Martinez, DMD
• Mariana Santa Martinez
• Mary Ann Martinez
• Michelle Daly Martinez, LP
• Pamela Martinez
• Rafael Martinez, M.D.
• Verushka Martinez, D.C.
• Yadira Martinez
• Milagros Masa, PHARMACY TECHNICIAN

• General Practice Dentistry in Caguas, PR
• Providers in Caguas, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2024; 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.