Individual provider Active NPI

Francisco Javier Martinez, PSYD

  • Psychologist
  • Guaynabo, PR
National Provider Identifier
1114531209
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1961 Issued in PR
Practice address
Plaza Real Shopping Center
Ave. Albolote #1
Guaynabo, PR 00969-2800
Phone
(787) 630-9434
NPI assigned
Sep 4, 2020
Last updated
Sep 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1961 PR Primary

Addresses

Primary practice location

Plaza Real Shopping Center
Ave. Albolote #1
Guaynabo, PR 00969-2800

Mailing address

Urb Terrazas de Guaynabo
T-5 Calle Girasol
Guaynabo, PR 00969-5417
Phone (787) 630-9434

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

LicenseStateTypeSpecialty
1961PRMDPsychiatric Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1114531209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB TERRAZAS DE GUAYNABO",
            "address_2": "T-5 CALLE GIRASOL",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695417",
            "telephone_number": "787-630-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA REAL SHOPPING CENTER",
            "address_2": "AVE. ALBOLOTE #1",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009692800",
            "telephone_number": "787-630-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "FRANCISCO",
        "middle_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "1961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.