Jorge A Martinez-Toro, CP 796
Individual provider Active NPI Clinical Psychologist · Ponce, PR
NPI 1457729790 · NPPES record last updated Feb 4, 2019
Key facts
- NPI
- 1457729790
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 6235 (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
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190628002754 | PR | Practitioner - Clinical Psychologist | 8022342799 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 796 | PR | MD | Chiropractor |
| 6235 | PR | MD | Pharmacotherapy Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inspira Behavioral Care Corp | Current |
Accepting new patients | |
| Inspira Behavioral Care Corp. | Single Specialty | Current | Accepting new patients |
| A&R Behavioral Associates PSC | Psychologist | Current |
Accepting new patients |
| Inspira Behavioral Care Corp. | Current |
Accepting new patients | |
| Inspira Behavioral Care Corp. | Past | Accepting new patients | |
| Inspira Behavioral Care Corp. | Past | Accepting new patients | |
| Inspira Mental Health Management | Past |
Accepting new patients |
Locations
2431 Blvd Luis a Ferre
Ponce, PR 00717
Phone (787) 231-5676
2162 Blvd Luis a Ferre
Ponce, PR 00717
Phone (787) 840-1110
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 796 | PR | |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 6235 | PR | |
| Clinical Psychologist |
103TC0700X | 6235 | PR | Yes |
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
Other providers in Ponce, PR
- Sahayra Martinez-Candelario
- Manuel Antonio Martinez-Gonzalez
- Mariela Raquel Martinez-Rivera
- Gabriel Martinez-Rodriguez
- Luis Martinez-Sierra
- Anasin Martinez
- Angelita Martinez
- Betzy J. Martinez
- Carolina Martinez
- Dileisy Martinez
All providers in Ponce, PR · Clinical Psychologist in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.