Active NPI
Marta Teresa Mendez
- Psychologist
- Dorado, PR
National Provider Identifier
1558638445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1916
- Practice address
- Dorado del Mar
LL-12 Blvd. St.
Dorado, PR 00646-2320 - Phone
- (787) 604-8318
- NPI assigned
- Nov 21, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1916 | PR | Primary |
Addresses
Primary practice location
Dorado del Mar
LL-12 Blvd. St.
Dorado, PR 00646-2320
Mailing address
Urb. Dorado del Mar
LL-12 Blvd. St.
Dorado, PR 00646-2320
Phone (787) 604-8318
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1916 | PR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321833600000",
"number": "1558638445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB. DORADO DEL MAR",
"address_2": "LL-12 BLVD. ST.",
"city": "DORADO",
"state": "PR",
"postal_code": "006462320",
"telephone_number": "787-604-8318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DORADO DEL MAR",
"address_2": "LL-12 BLVD. ST.",
"city": "DORADO",
"state": "PR",
"postal_code": "006462320",
"telephone_number": "787-604-8318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDEZ",
"first_name": "MARTA",
"middle_name": "TERESA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-21",
"last_updated": "2011-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "1916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dorado, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.