Individual provider Active NPI

Lisandra Martinez, MSW

  • Clinical Psychologist
  • Ponce, PR
National Provider Identifier
1053973511
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8775 Issued in PR
Practice address
35 Calle Mayor
Ponce, PR 00730-3726
Phone
(787) 844-3077
Fax
(787) 844-3077
NPI assigned
Jul 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 14024 PR
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 8775 PR Primary

Addresses

Primary practice location

35 Calle Mayor
Ponce, PR 00730-3726

Mailing address

PO Box 8851
Ponce, PR 00732-8851
Phone (787) 844-3077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230822004356 PR Practitioner - Clinical Social Worker 0749643872 Practice locations: Ponce, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8775PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Psicoterapeutico Transformare LLC Clinical Current Accepting new patients
Centro Holistico Bienestar Mental Multi-Specialty Past Accepting new patients
N & N Psychological Services Multi-Specialty PastSince Aug 26, 2024 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1053973511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8851",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007328851",
            "telephone_number": "787-844-3077",
            "fax_number": "787-844-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CALLE MAYOR",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007303726",
            "telephone_number": "787-844-3077",
            "fax_number": "787-844-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "LISANDRA",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-05",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "14024",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "8775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.