Individual provider Active NPI

Juanita Martinez Martinez, MSW

  • Clinical Social Worker
  • San Juan, PR
National Provider Identifier
1215157516
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1993 Issued in PR
Practice address
Calle Maga . Bo. Monacillos , SJ, #B
Calle Maga . Bo. Monacillos ,Ambulatorio SJ, #B
San Juan, PR 00921
Phone
(787) 758-3709
Fax
(787) 758-3709
NPI assigned
Apr 27, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1993 PR Primary

Addresses

Primary practice location

Calle Maga . Bo. Monacillos , SJ, #B
Calle Maga . Bo. Monacillos ,Ambulatorio SJ, #B
San Juan, PR 00921

Mailing address

Ave. San Ignasio , Apt.# 12N, S.J. P.R
Cond.San Ignasio, Apt. 12N, S.J. P.R
San Juan, PR 00921-3836
Phone (787) 758-3709

Other names 1

  • Miss Juanita Martinez Martinez Professional name

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
1993PRMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215157516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE. SAN IGNASIO , APT.# 12N, S.J. P.R",
            "address_2": "COND.SAN IGNASIO, APT. 12N, S.J. P.R",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213836",
            "telephone_number": "787-758-3709",
            "fax_number": "787-758-3709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE MAGA . BO. MONACILLOS , SJ, #B",
            "address_2": "CALLE MAGA . BO. MONACILLOS ,AMBULATORIO SJ, #B",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-758-3709",
            "fax_number": "787-758-3709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JUANITA",
        "middle_name": "MARTINEZ",
        "name_prefix": "Miss",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "1993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUANITA",
            "last_name": "MARTINEZ",
            "middle_name": "MARTINEZ",
            "prefix": "MISS",
            "credential": "MSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Jul 8, 2007; 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.