Provider Demographics
NPI:1013697820
Name:MARTINEZ GIL, LUIS BELTRAN (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:LUIS
Middle Name:BELTRAN
Last Name:MARTINEZ GIL
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:361 N UNIVERSITY DR APT 109
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-2050
Mailing Address - Country:US
Mailing Address - Phone:786-930-8696
Mailing Address - Fax:
Practice Address - Street 1:361 N UNIVERSITY DR APT 109
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-2050
Practice Address - Country:US
Practice Address - Phone:786-930-8696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-18
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program