Yasmir Manon Martinez

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2868 Issued in PR

Practice address

231-26 Calle 610
Villa Carolina
Carolina, PR 00985-2223

Phone

(939) 717-4302

NPI assigned

Jun 9, 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

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

State licenses

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1386964534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231-26 CALLE 610",
            "address_2": "VILLA CAROLINA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009852223",
            "telephone_number": "939-717-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231-26 CALLE 610",
            "address_2": "VILLA CAROLINA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009852223",
            "telephone_number": "939-717-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANON MARTINEZ",
        "first_name": "YASMIR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-09",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCIA",
            "identifier": "2868",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luis Maldonado, RN
• Marisol Maldonado, M.S.W
• Nelida Maldonado
• Elizabeth Eileen Malfaro, STUDENT
• Maricelis Mangual, RPH
• Mapo Vision Group
• Jessica Angela Marengo, MPSY, CPF
• Paula Noelis Marin-Acevedo
• Edison Marin, O.D.
• Ingrid C Marin, PSY.D

• Clinical Psychologist in Carolina, PR
• Providers in Carolina, 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 Mar 31, 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.