Maria Ines Martinez Elizalde, MS, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

7572 Issued in PR

Practice address

316 Calle Bonet
Mayaguez, PR 00682-7432

Phone

(787) 648-4236

NPI assigned

Jun 10, 2020

Last updated

Feb 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Migrant Health Center Western Region Inc

  • Clinic Pharmacy
  • San Sebastian, PR
  • NPI 1114064102
  NPD (past)
• Migrant Health Center Western Region, Inc.

  • Radiology Clinic/Center
  • Las Marias, PR
  • NPI 1508453051
  NPD (past)

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1245855808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3381",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006813381",
            "telephone_number": "787-648-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 CALLE BONET",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006827432",
            "telephone_number": "787-648-4236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "395 Zona Ind Reparada 2",
            "address_purpose": "LOCATION",
            "city": "Ponce",
            "state": "PR",
            "postal_code": "007162348",
            "country_code": "US",
            "telephone_number": "787-840-2575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ ELIZALDE",
        "first_name": "MARIA",
        "middle_name": "INES",
        "credential": "MS, PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-10",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Martin, MS
• Jose L Martinez Camacho, LICD
• Karla Dennise Martinez Casiano, PHD
• Valeria Yali Martinez de Leon
• Manuel A Martinez del Toro, M.D.
• Luz E Martinez Garcia, MD
• Hector Javier Martinez Gonzalez, M.D
• Albin Martinez Lugo, MD
• Raul Orlando Martinez Lugo, LMT
• Liara Martinez Molina, LCSW

• Clinical Psychologist in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.