Individual provider Active NPI

Isilda Ruiz Martinez, PSY.D.

  • Clinical Psychologist
  • Miami Beach, FL
National Provider Identifier
1497762710
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY6659 Issued in FL
Practice address
960 Arthur Godfrey Rd
Suite 106
Miami Beach, FL 33140-3326
Phone
(305) 803-1853
Fax
(305) 538-6567
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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 PY6659 FL Primary

Addresses

Primary practice location

960 Arthur Godfrey Rd
Suite 106
Miami Beach, FL 33140-3326

Mailing address

2457 Collins Ave
#804
Miami Beach, FL 33140-4722
Phone (305) 803-1853

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

LicenseStateTypeSpecialty
PY6659FLMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201737600000",
    "number": "1497762710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2457 COLLINS AVE",
            "address_2": "#804",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331404722",
            "telephone_number": "305-803-1853",
            "fax_number": "305-538-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 ARTHUR GODFREY RD",
            "address_2": "SUITE 106",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403326",
            "telephone_number": "305-803-1853",
            "fax_number": "305-538-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ISILDA",
        "middle_name": "RUIZ",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.