Healthcare Provider Details

I. General information

NPI: 1821948449
Provider Name (Legal Business Name): YOEL MARTINEZ CRUZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/02/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3911 SW 89TH CT
MIAMI FL
33165-5309
US

IV. Provider business mailing address

3911 SW 89TH CT
MIAMI FL
33165-5309
US

V. Phone/Fax

Practice location:
  • Phone: 786-491-4329
  • Fax:
Mailing address:
  • Phone: 786-491-4329
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN32585
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: