Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023641107 Individual Practitioner Female Practitioner

Dr. Elisandra Estrada Martinez , DDS

Dentist - General Practice • Cooper City, FL

Professional Overview & Biography Verified Profile Summary

Dr. Elisandra Estrada Martinez, DDS is a registered healthcare professional specializing in Dentist - General Practice in Cooper City, FL. Practice services are available at 11401 HIBBS GROVE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11401 Hibbs Grove Dr

Cooper City, FL 333304444

Telephone 7863661821

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Cooper City, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
9 Specialists

Practicing in Cooper City, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-12-09
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN26814

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

State License FL DRPM2120

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1023641107 (FL)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2024

Student in an Organized Health Care Education/Training Program (License #DRPM2120 in FL)

📍
Updated Practice Location June 17, 2022

Registered at 11401 HIBBS GROVE DR, COOPER CITY, FL 333304444 (Tel: 7863661821)

📍
Updated Business Mailing Address June 17, 2022

Registered at 11401 HIBBS GROVE DR, COOPER CITY, FL 333304444 (Tel: 1786366182)

👤
Provider Name / Credentials Updated June 17, 2022

Recorded as ELISANDRA ESTRADA MARTINEZ, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2022

Dentist (License #DN26814 in FL)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2020

Student in an Organized Health Care Education/Training Program (License #DRPM2120 in FL)

NPI Profile Active February 18, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location February 18, 2020

Registered at 750 E 25TH ST, HIALEAH, FL 330133817 (Tel: 3056945400)

📍
Updated Business Mailing Address February 18, 2020

Registered at 750 E 25TH ST, HIALEAH, FL 330133817 (Tel: 3056945400)

👤
Provider Name / Credentials Updated February 18, 2020

Recorded as ELISANDRA ESTRADA MARTINEZ

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration February 18, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023641107
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 18, 2020
Last Update: December 09, 2024
Sole Proprietor: Yes

Mailing Address

11401 Hibbs Grove Dr

Cooper City, FL 333304444

Phone: 1786366182

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.