Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811700610 Individual Practitioner Male Practitioner

Jose Manuel Divo Materan

Dentist • Orlando, FL

Professional Overview & Biography Verified Profile Summary

Jose Divo Materan is a registered healthcare professional specializing in Dentist in Orlando, FL. Practice services are available at 12329 S ORANGE BLOSSOM TRL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12329 S Orange Blossom Trl

Orlando, FL 328376214

Telephone 4075848565
Associated Practice Facility / Clinic
🏢 Orange Dental Pa Facility NPI 1699937425

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Orlando, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
241 Specialists

Practicing in Orlando, FL (6414 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: 2025-10-30
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License FL DN31027

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

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.

Secondary Practice Locations

635 Albany St

Boston, MA 021183550

Phone: 6173588300

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Carlos Alvarez , DMD

Dentist - General Practice

NPI 1467868422

Doctor of Dental Medicine

Dr. Arianna Borges Rodriguez , DMD

Dentist - General Practice

NPI 1487495354

Doctor of Dental Medicine

NPI 1497870109

Doctor of Dental Medicine

Doctor of Dental Medicine

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location October 30, 2025

Registered at 12329 S ORANGE BLOSSOM TRL, ORLANDO, FL 328376214 (Tel: 4075848565)

📍
Updated Business Mailing Address October 30, 2025

Registered at 932 LARSON DR, ALTAMONTE SPRINGS, FL 327142036 (Tel: 4078486760)

NPI Profile Active January 28, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location January 28, 2025

Registered at 635 ALBANY ST, BOSTON, MA 021183550 (Tel: 6173588300)

📍
Updated Business Mailing Address January 28, 2025

Registered at 635 ALBANY ST, BOSTON, MA 021183550 (Tel: 6173588300)

👤
Provider Name / Credentials Updated January 28, 2025

Recorded as JOSE DIVO MATERAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2025

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration January 28, 2025

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: 1811700610
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 28, 2025
Last Update: October 30, 2025
Sole Proprietor: No

Mailing Address

932 Larson Dr

Altamonte Springs, FL 327142036

Phone: 4078486760

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.