Active NPI
Mauricio Martinez DMD PA
- General Practice Dentistry
- Cape Coral, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- MAURICIO MARTINEZ DMD PA
- Practice address
- 4905 Chiquita Blvd S Ste 104
Cape Coral, FL 33914-8907 - Phone
- (239) 549-0001
- NPI assigned
- Aug 12, 2022
- Last updated
- Aug 12, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mauricio Martinez, DMD
- Title
- Dentist/Owner
- Phone
- (239) 549-0001
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NU | Primary |
Addresses
Primary practice location
4905 Chiquita Blvd S Ste 104
Cape Coral, FL 33914-8907
Mailing address
4905 Chiquita Blvd S Ste 104
Cape Coral, FL 33914-8907
Phone (239) 549-0001
National Provider Directory
National Provider DirectoryLocations
4905 Chiquita Blvd S
Ste 104
Cape Coral, FL 33914
Phone (239) 549-0001
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660262400000",
"number": "1992433312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4905 CHIQUITA BLVD S STE 104",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339148907",
"telephone_number": "239-549-0001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4905 CHIQUITA BLVD S STE 104",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339148907",
"telephone_number": "239-549-0001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAURICIO MARTINEZ DMD PA",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-12",
"last_updated": "2022-08-12",
"certification_date": "2022-08-12",
"status": "A",
"authorized_official_last_name": "MARTINEZ",
"authorized_official_first_name": "MAURICIO",
"authorized_official_title_or_position": "DENTIST/OWNER",
"authorized_official_telephone_number": "239-549-0001",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.