Mind & Shapes Resources

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

MIND & SHAPES RESOURCES

Practice address

Cobian's Plaza Ave Ponce de Leon 1607
Suite 105
San Juan, PR 00909-0000

Phone

(787) 445-5000

NPI assigned

Oct 4, 2022

Last updated

Oct 4, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kianivette Martinez

Title

Psychologist

Phone

(787) 445-5000

Specialties & licenses 1

Addresses

Other names 1

• MIND & SHAPES RESOURCES Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kianivette Martinez Cruz, PSYD

  • Clinical Psychologist
  • San Juan, PR
  • NPI 1326211186
  NPD

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1578288452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1294 CALLE JUAN BAIZ",
            "address_2": "APDO. 2230",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00924",
            "telephone_number": "787-445-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COBIAN'S PLAZA AVE PONCE DE LEON 1607",
            "address_2": "SUITE 105",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009090000",
            "telephone_number": "787-445-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND & SHAPES RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "KIANIVETTE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "787-445-5000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIND & SHAPES RESOURCES",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Millenium Open MRI and Imaging Center II PSC
• Millennial Security and Investigation Services
• Millennium Institute for Advance Nursing Care Inc
• Daniel Millian-Morell
• Milorl LLC (Farmacia Cristina- la Cumbre)
• Mind Growth Clinic
• Mind&Body Psychological Integral Health Inc
• Mindful Recovery Center, LLC
• Mindful Rheumatix LLC
• Dennice A Miner Lugo, RD

• Psychologist in San Juan, PR
• Providers in San Juan, PR by specialty
• Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.