Individual provider Active NPI

Ruth Esther Martinez, BA

  • Speech-Language Assistant
  • San Juan, PR
National Provider Identifier
1235729252
Registry record updated Jan 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
1439 Issued in PR
Practice address
Parques de Cupey 18 Calle Tagore
Apt 124
San Juan, PR 00926-4524
Phone
(787) 556-5881
NPI assigned
Jan 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 6670 PR
Speech-Language Assistant 2355S0801X 1439 PR Primary

Addresses

Primary practice location

Parques de Cupey 18 Calle Tagore
Apt 124
San Juan, PR 00926-4524

Mailing address

Parques de Cupey 18 Calle Tagore
Apt 124
San Juan, PR 00926-4524
Phone (787) 556-5881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260618004401 PR Practitioner - Psychologist Billing Independently 6204308356 Practice locations: Caguas, PR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

30 Calle Padial
Suite 206
Caguas, PR 00725-3841
Phone (787) 556-5881

350 Carr
844 Apt 5803
San Juan, PR 00926

350 Carr 844 Cond Alturas del Bosque
Apt 5803
San Juan, PR 00926

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
1439PRMDGeneral Practice Dentistry
6670PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1611360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611360000000",
    "number": "1235729252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PARQUES DE CUPEY 18 CALLE TAGORE",
            "address_2": "APT 124",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264524",
            "telephone_number": "787-556-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PARQUES DE CUPEY 18 CALLE TAGORE",
            "address_2": "APT 124",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264524",
            "telephone_number": "787-556-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "RUTH",
        "middle_name": "ESTHER",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-23",
        "last_updated": "2021-01-23",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "6670",
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "PR",
            "license": "1439",
            "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 Jan 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.