Active NPI
Kathiria Martinez Alicea
- Counseling Psychologist
- Carolina, PR
National Provider Identifier
1437817673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 7187
- Practice address
- Carolina Shopping Court, Suite 201a
Carolina, PR 00982 - Phone
- (787) 767-8758
- Fax
- (844) 759-2966
- NPI assigned
- Dec 6, 2021
- Last updated
- Feb 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 7187 | PR | |
| Counseling Psychologist | 103TC1900X | 7187 | PR | Primary |
Addresses
Primary practice location
Carolina Shopping Court, Suite 201a
Carolina, PR 00982
Mailing address
100 Calle Joaquina
Carolina, PR 00979-1200
Phone (939) 223-9403
Other practice location 1
100 calle Juaquina Coop. de Vivienda Torres de Carolina
Torre B Apt. 301
Carolina, PR 00979
Phone (939) 223-9403
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39276100 | Medicaid | PR |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7187 | PR | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677456000000",
"number": "1437817673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CALLE JOAQUINA",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009791200",
"telephone_number": "939-223-9403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CAROLINA SHOPPING COURT, SUITE 201A",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00982",
"telephone_number": "787-767-8758",
"fax_number": "844-759-2966"
}
],
"practiceLocations": [
{
"address_1": "100 calle Juaquina Coop. de Vivienda Torres de Carolina",
"address_2": "Torre B Apt. 301",
"address_purpose": "LOCATION",
"city": "Carolina",
"state": "PR",
"postal_code": "00979",
"country_code": "US",
"telephone_number": "939-223-9403",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINEZ ALICEA",
"first_name": "KATHIRIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-06",
"last_updated": "2023-02-27",
"certification_date": "2023-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "7187",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PR",
"license": "7187",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39276100",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carolina, PR
- Katia Marie Martell Cruz, ND
- Martell Enterprises Inc (Audiosalud Centro Audiologico Alivio Dorado)
- Wilson Martell Jovet
- Orlando R. Martin, DMD
- Yanelis Martin, NURSE PRACTITIONER
- Jacqueline Martinez Chaluisant, RDN
- Jeannie Ann Martinez Chapman, LP
- Genesis Martinez Ducos, PHARMACY TECHNICIAN
- Anisonia Martinez Hernandez, MD
- Nahomi Martinez Laboy, M.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.