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LUIS ANGEL MARTINEZ ORTIZ
NPI 1174193494
Dentist - Periodontics in Coamo, PR

Active since June 29, 2021PECOS Enrolled
43 CALLE BALDORIOTY, COAMO, PR 00769(787) 634-4237 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Luis Angel Martinez Ortiz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUIS ANGEL MARTINEZ ORTIZ (NPI 1174193494) is an individual periodontics provider in Coamo, Puerto Rico, licensed in Puerto Rico (3574) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and is a graduate of University Of Puerto Rico School Of Dentistry (2025).

NPPES Registry Identity

NPI1174193494
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameLUIS ANGEL MARTINEZ ORTIZ
Location Address43 CALLE BALDORIOTYCoamo, PR 00769-3120
Mailing AddressHc 4 Box 6092Coamo, PR 00769-9663 · (787) 634-4237
Phone(787) 634-4237
Sole ProprietorNo
Medical School CMSUniversity Of Puerto Rico School Of DentistryGraduated 2025
Enumeration DateJune 29, 2021
Last NPPES UpdateAugust 21, 2025
NPPES CertifiedAugust 21, 2025
✔ NPI 1174193494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in PR · 3574
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Luis Angel Martinez Ortiz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769960046
PECOS Enrollment IDI20260128003656
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Luis Martinez Ortiz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lmo Perioimplants LLC
Dental
43 CALLE BALDORIOTY
Coamo, PR 00769
  • Reassigned Medicare billing, Puerto Rico enrollment
NPI 1093692881 (787) 634-4237

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00769 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.07 typical visit price
range $56.86 – $172.44
Typical copayment $22.01 (range $14.21 – $43.11)
Most-billed visit code 99203
Established Patient
$70.88 typical visit price
range $18.24 – $140.44
Typical copayment $17.72 (range $4.56 – $35.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LMO PERIOIMPLANTS LLC
Clinic/Center (Dental)
43 CALLE BALDORIOTY
COAMO, PR 00769
Coamo Municipio (787) 634-4237
DR. RAUL DAMASO ORTIZ D.D.S.
Dentist (General Practice)
43 CALLE BALDORIOTY, SUITE # 3
COAMO, PR 00769
Coamo Municipio (787) 825-0222

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luis Martinez Ortiz's NPI number?

The NPI number for Luis Martinez Ortiz is 1174193494. It was assigned to this individual provider in the NPPES registry on June 29, 2021.

Where is Luis Martinez Ortiz located?

Luis Martinez Ortiz practices at 43 Calle Baldorioty, Coamo, PR 00769. The listed phone number is (787) 634-4237.

What is Luis Martinez Ortiz's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Luis Martinez Ortiz enrolled in Medicare?

Yes. Luis Martinez Ortiz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Luis Martinez Ortiz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luis Martinez Ortiz reassigns Medicare benefits to Lmo Perioimplants LLC (Coamo, PR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Luis Martinez Ortiz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Luis Martinez Ortiz accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 1 other insurer list Luis Martinez Ortiz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Luis Martinez Ortiz was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.