Lourdes Moreno Martinez, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3602 Issued in PR

Practice address

Calle Tomas Davila Martinez 1
Barceloneta, PR 00617

Phone

(787) 370-7370

NPI assigned

Jan 25, 2010

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

Other identifiers 1

Electronic endpoints 1

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

Doctor of Philosophy

State licenses

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

• Resiliencias, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Barceloneta, PR
  • NPI 1710361837
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1264377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1255662672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 901",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "006170901",
            "telephone_number": "787-370-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE TOMAS DAVILA MARTINEZ 1",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "00617",
            "telephone_number": "787-370-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO MARTINEZ",
        "first_name": "LOURDES",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-25",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "II799Y",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://npiregistry.cms.hhs.gov/registry/search-results-table?entity_type=NPI-1&number=1255662672&ad",
            "affiliation": "N",
            "endpointDescription": "Psychologist",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Calle Tomas Davila Martinez 1",
            "city": "Barceloneta",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daniel Emilio Montanez, PSYD
• Montemar Clinical Labs., Inc.
• Veronica Morales Colon
• Lisa M Morales
• Eva Esther Morell Ramirez
• Municipio de Barceloneta
• Maria L Narvaez
• Zulma M. Negron Cortes, LND
• Gladys E Negron, M.D. PSC
• Isai Negron

• Clinical Psychologist in Barceloneta, PR
• Providers in Barceloneta, 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 May 14, 2020; 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.