Search › Florida › 122300000X
Jose Divo Materan
NPI 1811700610 · on the registry since 2025
Practice
- Address
- 12329 S Orange Blossom Trl
Orlando, FL 32837 - Phone
- (407) 584-8565
- Organisation at this address
- Orange Dental Pa
West Coast Dental PartnersInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Additional practice sites
- 635 Albany St, Boston, MA
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 390200000X
- Licence states on file
- MA, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-10-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida