Jose Manuel Divo Materan
Jose Manuel Divo Materan is a Student in an Organized Health Care Education/Training Program in Orlando, Florida. Works from 2 locations. Licensed in Florida and Massachusetts.
- Licensed in
- FL, MA
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
Orlando, FLNo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 635 Albany St, Boston, MA 02118-3550 — (617) 358-8300
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence DN31027 (FL) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X (MA) |
Record details
| NPI number | 1811700610 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 28, 2025 |
| Last updated in NPPES | October 30, 2025 |
| Certification date | October 30, 2025 |
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