Individual provider Active NPI

Jorge A Martinez-Toro, CP 796

  • Clinical Psychologist
  • Ponce, PR
National Provider Identifier
1457729790
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6235 Issued in PR
Practice address
2162 Blvd Luis a Ferre Urb Villa Grillasca
Ponce, PR 00717-0722
Phone
(787) 840-1110
Fax
(787) 840-0003
NPI assigned
Sep 3, 2015
Last updated
Feb 4, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 796 PR
Addiction (Substance Use Disorder) Psychologist 103TA0400X 6235 PR
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 6235 PR Primary

Addresses

Primary practice location

2162 Blvd Luis a Ferre Urb Villa Grillasca
Ponce, PR 00717-0722

Mailing address

110 Calle 5
Jardines del Caribe
Ponce, PR 00728-4466
Phone (787) 326-0676

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
I20190628002754 PR Practitioner - Clinical Psychologist 8022342799 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
796PRMDPsychologist
6235PRMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Inspira Behavioral Care Corp. Single Specialty Current Accepting new patients
Inspira Behavioral Care Corp. CurrentSince May 17, 2019 Accepting new patients
A&R Behavioral Associates PSC Psychologist CurrentSince Jan 26, 2019 Accepting new patients
Inspira Behavioral Care Corp CurrentSince May 17, 2019 Accepting new patients
Inspira Mental Health Management PastSince May 17, 2019 Accepting new patients
Inspira Behavioral Care Corp. Past Accepting new patients
Inspira Behavioral Care Corp. Past Accepting new patients

Locations

2162 Blvd Luis a Ferre
Ponce, PR 00717
Phone (787) 840-1110

2431 Blvd Luis a Ferre
Ponce, PR 00717
Phone (787) 234-5386

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1457729790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CALLE 5",
            "address_2": "JARDINES DEL CARIBE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007284466",
            "telephone_number": "787-326-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2162 BLVD LUIS A FERRE URB VILLA GRILLASCA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170722",
            "telephone_number": "787-840-1110",
            "fax_number": "787-840-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ-TORO",
        "first_name": "JORGE",
        "middle_name": "A",
        "credential": "CP 796",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-03",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PR",
            "license": "796",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "PR",
            "license": "6235",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "6235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.