Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Luis Angel Martinez Ortiz

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174193494

Luis Angel Martinez Ortiz is a Periodontics in Coamo, Puerto Rico. Graduated from University of Puerto Rico School of Dentistry in 2025, 1 year ago. Licensed in Puerto Rico.

Years since qualifying
1
Trained at
University of Puerto Rico School of Dentistry
Licensed in
PR
In the registry since
2021
Specialties on file
2

Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

43 Calle Baldorioty
Coamo, PR 00769-3120
Phone: (787) 634-4237

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 3574 (PR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1174193494
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 29, 2021
Last updated in NPPESAugust 21, 2025
Certification dateAugust 21, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPERIODONTICS
Medical schoolUNIVERSITY OF PUERTO RICO SCHOOL OF DENTISTRY
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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