Individual provider Active NPI

Lesvia Y Martinez-Alvarado, PSYD

  • Clinical Psychologist
  • Coamo, PR
National Provider Identifier
1447698097
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4641 Issued in PR
Practice address
Centro de Convenciones Luis a. 'Wito' Santiago
Carr 14 KM 30
Coamo, PR 00769
Phone
(787) 329-9770
NPI assigned
Jun 5, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 4641 PR Primary

Addresses

Primary practice location

Centro de Convenciones Luis a. 'Wito' Santiago
Carr 14 KM 30
Coamo, PR 00769

Mailing address

Carr 159 Box 10078
Coamo, PR 00769
Phone (787) 949-3713

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20131127001337 PR Practitioner - Clinical Psychologist 2860628674 Practice locations: Coamo, PR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Ponce School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Carr 14 KM
30 Centro de Convenciones Luis a Wito Santi
Coamo, PR 00769
Phone (787) 329-9770

PO Box
Suite 2311
Coamo, PR 00769

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4641PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1447698097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARR 159 BOX 10078",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "00769",
            "telephone_number": "787-949-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO DE CONVENCIONES LUIS A. 'WITO' SANTIAGO",
            "address_2": "CARR 14 KM 30",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "00769",
            "telephone_number": "787-329-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ-ALVARADO",
        "first_name": "LESVIA",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-05",
        "last_updated": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "4641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coamo, PR

Sources for this page

Verify at the official NPI Registry.