Kianivette Martinez Cruz, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3005 Issued in PR

Practice address

Cobian'S Plaza Ave Ponce de Leon 1607
Suite 105
San Juan, PR 00909

Phone

(787) 445-5000

NPI assigned

Apr 11, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mind & Shapes Resources

  • Psychologist
  • San Juan, PR
  • NPI 1578288452
  NPD

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1326211186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1294 CALLE JUAN BAIZ",
            "address_2": "APDO. 2230",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00924",
            "telephone_number": "787-445-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COBIAN'S PLAZA AVE PONCE DE LEON 1607",
            "address_2": "SUITE 105",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00909",
            "telephone_number": "787-445-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ CRUZ",
        "first_name": "KIANIVETTE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-11",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039175001",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yariliz Nicole Martinez Blasini
• Marta Martinez Caballero, MS, MSCP. PSYD
• Ana D. Martinez Cintron, PH.D.
• Maria I Martinez Colon, M.D.
• Jose Enrique Martinez Correa, MD
• Francesca Andrea Martinez Cuevas, MD
• Ana Ivelisse Martinez de Andino, PHARMACIST
• Jose Luis Martinez Fernandez, MD
• Kamila Martinez Fernandez
• Jonathan A Martinez Feshold, M.D.

• Clinical Psychologist in San Juan, PR
• Providers in San Juan, 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 Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.