Individual provider Active NPI

Aida Luz Ortiz- Martinez, PH.D; PSY.D.

  • Forensic Psychologist
  • Humacao, PR
National Provider Identifier
1649201567
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic PsychologistTaxonomy code 103TF0200X
License
1574 Issued in PR
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

Updated by the provider on Oct 26, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
CRUZ AZULOtherPRCRUZ AZUL DE PR
11475OtherPRUNITED HEALTHCARE
61-00141OtherPRCOSMOS
15-1574OtherPRMCS

Other names 1

  • Dr. Aida Luz Ortiz-Martinez Professional name

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
1574PRMDForensic Psychologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.