1. Home
  2. Directory
  3. Florida
  4. Orlando
  5. Dentist
  6. NPI Profile

JOSE MANUEL DIVO MATERAN
NPI 1811700610
Dentist in Orlando, FL

Active since January 28, 2025
12329 S ORANGE BLOSSOM TRL, ORLANDO, FL 32837(407) 584-8565 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jose Manuel Divo Materan NPPES

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

JOSE MANUEL DIVO MATERAN (NPI 1811700610) is an individual dentist in Orlando, Florida, licensed in Florida (DN31027) and active in the NPI registry since January 2025. He maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1811700610
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameJOSE MANUEL DIVO MATERAN
Location Address12329 S ORANGE BLOSSOM TRLOrlando, FL 32837-6214
Mailing Address932 Larson DrAltamonte Springs, FL 32714-2036 · (407) 848-6760
Phone(407) 584-8565
Sole ProprietorNo
Enumeration DateJanuary 28, 2025
Last NPPES UpdateOctober 30, 2025
NPPES CertifiedOctober 30, 2025
✔ NPI 1811700610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · DN31027
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
12329 S ORANGE BLOSSOM TRL, Orlando, FL 32837
Open in Google Maps ↗

Secondary Practice Location 1

Location 1635 Albany StBoston, MA 02118-3550 · Phone (617) 358-8300

Other Providers at the Same Location NPPES 6

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

DR. CARLOS ALVAREZ DMD
Dentist (General Practice)
12329 S ORANGE BLOSSOM TRL
ORLANDO, FL 32837
Orange County (407) 890-7204
DR. ARIANNA BORGES RODRIGUEZ DMD
Dentist (General Practice)
12329 S ORANGE BLOSSOM TRL
ORLANDO, FL 32837
Orange County (407) 584-5322
DR. JOSEPH ALAN SHRAGER D.M.D.
Dentist
12329 S ORANGE BLOSSOM TRL
ORLANDO, FL 32837
Orange County (407) 856-2555
VIVIANA RODRIGUEZ REYES DMD
Dentist
12329 S ORANGE BLOSSOM TRL
ORLANDO, FL 32837
Orange County (407) 584-5322
WEST COAST DENTAL PARTNERS
Dentist (General Practice)
12329 S ORANGE BLOSSOM TRL
ORLANDO, FL 32837
Orange County (407) 584-8565
ORANGE DENTAL PA
Dentist
12329 S ORANGE BLOSSOM TRL
ORLANDO, FL 32837
Orange County (407) 856-2555

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 Jose Divo Materan's NPI number?

The NPI number for Jose Divo Materan is 1811700610. It was assigned to this individual provider in the NPPES registry on January 28, 2025.

Where is Jose Divo Materan located?

Jose Divo Materan practices at 12329 S Orange Blossom Trl, Orlando, FL 32837. The listed phone number is (407) 584-8565.

What is Jose Divo Materan's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Jose Divo Materan was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.