Active NPI
Vivian Marie Martinez, MD
- Psychiatry Physician
- San Juan, PR
National Provider Identifier
1316510894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 36530-R
- Practice address
- Ave Americo Miranda
9No Piso
San Juan, PR 00921 - Phone
- (787) 758-2525
- NPI assigned
- Jul 21, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 36530-R | PR | Primary |
Addresses
Primary practice location
Ave Americo Miranda
9No Piso
San Juan, PR 00921
Mailing address
Ave Americo Miranda
9No Piso
San Juan, PR 00921
Phone (787) 758-2525
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 |
|---|---|---|---|
| 36530-R | PR | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691971200000",
"number": "1316510894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "AVE AMERICO MIRANDA",
"address_2": "9NO PISO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00921",
"telephone_number": "787-758-2525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE AMERICO MIRANDA",
"address_2": "9NO PISO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00921",
"telephone_number": "787-758-2525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "VIVIAN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-21",
"last_updated": "2023-08-14",
"certification_date": "2023-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PR",
"license": "36530-R",
"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 Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.