Individual provider Active NPI

Xiomara Martinez Torres

  • Clinical Psychologist
  • Ponce, PR
National Provider Identifier
1477170751
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5824 Issued in PR
Practice address
Edificio a. Porrata Pila Suite 205
2431 Blvd Luis a. Ferre
Ponce, PR 00717-2115
Phone
(787) 208-1877
NPI assigned
Jul 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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 5824 PR Primary

Addresses

Primary practice location

Edificio a. Porrata Pila Suite 205
2431 Blvd Luis a. Ferre
Ponce, PR 00717-2115

Mailing address

Estancias del Monte
Calle Guilarte 9
Coto Laurel, PR 00780
Phone (787) 378-1010

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5824PRMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1477170751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ESTANCIAS DEL MONTE",
            "address_2": "CALLE GUILARTE 9",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "00780",
            "telephone_number": "787-378-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO A. PORRATA PILA SUITE 205",
            "address_2": "2431 BLVD LUIS A. FERRE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172115",
            "telephone_number": "787-208-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ TORRES",
        "first_name": "XIOMARA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-02",
        "last_updated": "2023-06-01",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "5824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.

Verify at the official NPI Registry.