Active NPI
Marizel Burgos Martinez, PSY.D
- Clinical Psychologist
- Rio Piedras, PR
National Provider Identifier
1457908063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5768
- Practice address
- 867 Ave Munoz Rivera Ste B102
Rio Piedras, PR 00925-2109 - Phone
- (939) 402-1334
- NPI assigned
- Aug 20, 2019
- Last updated
- Jul 8, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 5768 | PR | Primary |
Addresses
Primary practice location
867 Ave Munoz Rivera Ste B102
Rio Piedras, PR 00925-2109
Mailing address
PO Box 10734
Caparra Heights Station
San Juan, PR 00922-0734
Phone (939) 402-1334
Other practice location 1
Consultores Organizacionales Educativos y Technologicos
317 Ave Eleanor Roosevelt
San Juan, PR 00918
Phone (939) 402-1334
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 |
|---|---|---|---|
| 5768 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594166400000",
"number": "1457908063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10734",
"address_2": "CAPARRA HEIGHTS STATION",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009220734",
"telephone_number": "939-402-1334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "867 AVE MUNOZ RIVERA STE B102",
"city": "RIO PIEDRAS",
"state": "PR",
"postal_code": "009252109",
"telephone_number": "939-402-1334"
}
],
"practiceLocations": [
{
"address_1": "Consultores Organizacionales Educativos y Technologicos",
"address_2": "317 Ave Eleanor Roosevelt",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "PR",
"postal_code": "00918",
"country_code": "US",
"telephone_number": "939-402-1334",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURGOS MARTINEZ",
"first_name": "MARIZEL",
"name_prefix": "Mrs.",
"credential": "PSY.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-20",
"last_updated": "2020-07-08",
"certification_date": "2020-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "5768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rio Piedras, PR
- Julia Betancourt, R.N.B.S.N.
- Biotronic International LLC
- Marino Blasini Rivera, M.D.
- Vivian Raquel Bonilla- Felix, MD
- Marilia Joaxi Brunet Romero, PHARMD
- Rafael E. Calderon - Rodriguez, M.D.
- Jaime Calderon-Soto, PH.D.
- Alexandra Isabel Calderon, MD
- Luis A Caraballo-Feliciano, PSY.D
- Blanca Caraballo, R.N.B.S.N.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.