Provider Demographics
NPI:1235029356
Name:MARTINEZ POLO, MARIA DEL ROSARIO (DDS)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:DEL ROSARIO
Last Name:MARTINEZ POLO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13159 WOODFORD ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32832-6959
Mailing Address - Country:US
Mailing Address - Phone:407-301-2523
Mailing Address - Fax:
Practice Address - Street 1:201 S SEMORAN BLVD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32807-3288
Practice Address - Country:US
Practice Address - Phone:407-275-5844
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN307161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice