DR. ELISANDRA ESTRADA MARTINEZ DDS NPI 1023641107

NPI Information

  • NPI: 1023641107
  • Provider Name: DR. ELISANDRA ESTRADA MARTINEZ, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 11401 HIBBS GROVE DR
    COOPER CITY, FL
    ZIP 33330
  • Phone: (786) 366-1821

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NPI Details

DR. Elisandra Estrada Martinez, DDS is a general practice dentist in Cooper City, FL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Elisandra Estrada Martinez, DDS NPI is 1023641107. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11401 HIBBS GROVE DR
COOPER CITY, FL
ZIP 33330-444
Phone: (786) 366-1821

The enumeration date for this NPI number is 2/18/2020 and was last updated on 12/9/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramDRPM2120FLORIDANo
21223G0001XDentistGeneral PracticeDN26814FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11023641107MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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