Dr Elisandra Estrada Martinez, DDS is a
Student In An Organized Health Care Education/training Program based in Cooper City, Florida. Dr Elisandra Estrada Martinez is licensed to practice in Florida (license number DRPM2120) and her current practice location is
11401 Hibbs Grove Dr, Cooper City, Florida. She can be reached at her office (for appointments etc.) via phone at
(786) 366-1821.
NPI number for Dr Elisandra Estrada Martinez is 1023641107 and her current mailing address is 11401 Hibbs Grove Dr, Cooper City, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023641107.
Healthcare Provider's Profile
| Full Name | Dr Elisandra Estrada Martinez |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 11401 Hibbs Grove Dr, Cooper City, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1023641107
- Provider Enumeration Date: 02/18/2020
- Last Update Date: 06/17/2022
Medical Identifiers
Medical identifiers for Dr Elisandra Estrada Martinez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023641107 | NPI | - | NPPES |
| 1023641107 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | DN26814 (Florida) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | DRPM2120 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Elisandra Estrada Martinez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Elisandra Estrada Martinez, DDS
11401 Hibbs Grove Dr,
Cooper City, FL 33330-4444
Ph: (178) 636-6182 | Dr Elisandra Estrada Martinez, DDS
11401 Hibbs Grove Dr,
Cooper City, FL 33330-4444
Ph: (786) 366-1821 |
Reviews and Comments