Active NPI
Aida Luz Ortiz- Martinez, PH.D; PSY.D.
- Forensic Psychologist
- Humacao, PR
National Provider Identifier
1649201567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- 1574
- Practice address
- 12 Calle Miguel Casillas
Humacao, PR 00791-3638 - Phone
- (787) 850-9093
- Fax
- (787) 850-9094
- NPI assigned
- Jul 6, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | 1574 | PR | Primary |
| School Psychologist | 103TS0200X | 1574 | PR |
Addresses
Primary practice location
12 Calle Miguel Casillas
Humacao, PR 00791-3638
Mailing address
PO Box 9121
Humacao, PR 00792-9121
Phone (787) 850-9093
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CRUZ AZUL | Other | PR | CRUZ AZUL DE PR |
| 11475 | Other | PR | UNITED HEALTHCARE |
| 61-00141 | Other | PR | COSMOS |
| 15-1574 | Other | PR | MCS |
Other names 1
- Dr. Aida Luz Ortiz-Martinez
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1574 | PR | MD | Forensic Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consultores Psicologicos del Este, CSP | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Bayamon, PR
- NPI 1780476838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477440000000",
"number": "1649201567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9121",
"city": "HUMACAO",
"state": "PR",
"postal_code": "007929121",
"telephone_number": "787-850-9093",
"fax_number": "787-850-9094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 CALLE MIGUEL CASILLAS",
"city": "HUMACAO",
"state": "PR",
"postal_code": "007913638",
"telephone_number": "787-850-9093",
"fax_number": "787-850-9094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ- MARTINEZ",
"first_name": "AIDA",
"middle_name": "LUZ",
"name_prefix": "Dr.",
"credential": "PH.D; PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2016-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "PR",
"license": "1574",
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "PR",
"license": "1574",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRUZ AZUL DE PR",
"identifier": "CRUZ AZUL",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "11475",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COSMOS",
"identifier": "61-00141",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCS",
"identifier": "15-1574",
"state": "PR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AIDA",
"last_name": "ORTIZ-MARTINEZ",
"middle_name": "LUZ",
"prefix": "DR.",
"credential": "PH.D.; PSY.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Humacao, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.