Individual provider Active NPI

Yozibel Martinez Santos

  • Psychologist
  • Vega Baja, PR
National Provider Identifier
1164796173
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3587 Issued in PR
Practice address
Calle 2 Suite 1
Urbanizacion Villa Real
Vega Baja, PR 00693
Phone
(787) 669-6097
NPI assigned
Mar 8, 2012
Last updated
Mar 8, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3587 PR Primary

Addresses

Primary practice location

Calle 2 Suite 1
Urbanizacion Villa Real
Vega Baja, PR 00693

Mailing address

201 Calle Silvio Santos
Barriada Sandin
Vega Baja, PR 00693-6131
Phone (787) 669-6097

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
3587PRMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331164800000",
    "number": "1164796173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CALLE SILVIO SANTOS",
            "address_2": "BARRIADA SANDIN",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006936131",
            "telephone_number": "787-669-6097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 2 SUITE 1",
            "address_2": "URBANIZACION VILLA REAL",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00693",
            "telephone_number": "787-669-6097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ SANTOS",
        "first_name": "YOZIBEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-08",
        "last_updated": "2012-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "3587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; 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.