Active NPI
Melvin Miguel Martinez, PSY. D.
- Clinical Psychologist
- Rio Piedras, PR
National Provider Identifier
1639474646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3779
- Practice address
- 1130 Calle Vallejo
Rio Piedras, PR 00925-3440 - Phone
- (787) 274-8260
- NPI assigned
- Jan 22, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3779 | PR | Primary |
Addresses
Primary practice location
1130 Calle Vallejo
Rio Piedras, PR 00925-3440
Mailing address
Urb. Ext. Parkville
Calle Nevada Za-8
Guaynabo, PUERTO RICO 00627
UM
Phone (787) 599-1025
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 |
|---|---|---|---|
| 3779 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295654400000",
"number": "1639474646",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "URB. EXT. PARKVILLE",
"address_2": "CALLE NEVADA ZA-8",
"city": "GUAYNABO",
"state": "PUERTO RICO",
"postal_code": "00627",
"telephone_number": "787-599-1025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 CALLE VALLEJO",
"city": "RIO PIEDRAS",
"state": "PR",
"postal_code": "009253440",
"telephone_number": "787-274-8260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "MELVIN",
"middle_name": "MIGUEL",
"name_prefix": "Mr.",
"credential": "PSY. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-22",
"last_updated": "2011-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "3779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rio Piedras, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.