Active NPI
Sandra Ivette Martinez Rivera, M.D.
- Psychiatry Physician
- San Juan, PR
National Provider Identifier
1225276173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036.130639
- Practice address
- 10 Casia Street
VA Caribbean Health Care System
San Juan, PR 00921 - Phone
- (787) 641-7582
- NPI assigned
- Jan 30, 2009
- Last updated
- May 24, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 036.130639 | IL | |
| Psychiatry Physician | 2084P0800X | 036.130639 | IL | Primary |
Addresses
Primary practice location
10 Casia Street
VA Caribbean Health Care System
San Juan, PR 00921
Mailing address
HC 5 Box 91824
Arecibo, PR 00612-9520
Phone (773) 729-0911
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.130639 | IL | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464048000000",
"number": "1225276173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 5 BOX 91824",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006129520",
"telephone_number": "773-729-0911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CASIA STREET",
"address_2": "VA CARIBBEAN HEALTH CARE SYSTEM",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00921",
"telephone_number": "787-641-7582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ RIVERA",
"first_name": "SANDRA",
"middle_name": "IVETTE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-30",
"last_updated": "2016-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "IL",
"license": "036.130639",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036.130639",
"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 May 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.