Provider Demographics
NPI:1104450774
Name:ALMAGUER MARTINEZ, ANTONIO MANUEL (DDS)
Entity type:Individual
Prefix:
First Name:ANTONIO
Middle Name:MANUEL
Last Name:ALMAGUER MARTINEZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5036 W FLAGLER ST APT L
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-1279
Mailing Address - Country:US
Mailing Address - Phone:786-925-6317
Mailing Address - Fax:
Practice Address - Street 1:383 W 36TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-4317
Practice Address - Country:US
Practice Address - Phone:786-688-3368
Practice Address - Fax:786-681-1012
Is Sole Proprietor?:No
Enumeration Date:2020-02-23
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL272961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice