Active NPI
Bianca Cristina Mari Martinez
- Speech-Language Pathologist
- San Juan, PR
National Provider Identifier
1013509090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4215
- Practice address
- 1809 Calle Camelia
Urb. Santa Maria
San Juan, PR 00927 - Phone
- (787) 428-1678
- NPI assigned
- Feb 10, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 4215 | PR | Primary |
Addresses
Primary practice location
1809 Calle Camelia
Urb. Santa Maria
San Juan, PR 00927
Mailing address
PO Box 70250
Suite 134
San Juan, PR 00936
Phone (787) 428-1678
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4215 | PR | MD | Intellectual & Developmental Disabilities Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664064000000",
"number": "1013509090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 70250",
"address_2": "SUITE 134",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00936",
"telephone_number": "787-428-1678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1809 CALLE CAMELIA",
"address_2": "URB. SANTA MARIA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00927",
"telephone_number": "787-428-1678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "BIANCA",
"middle_name": "CRISTINA MARI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-10",
"last_updated": "2022-09-25",
"certification_date": "2022-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PR",
"license": "4215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.