Active NPI
Alexa Tirado Martinez, MD
- Clinical Psychologist
- Vega Baja, PR
National Provider Identifier
1649816059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6298
- Practice address
- La Placita Local C-10
Vega Baja, PR 00693 - Phone
- (787) 366-0163
- NPI assigned
- Nov 20, 2019
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6298 | PR | Primary |
Addresses
Primary practice location
La Placita Local C-10
Vega Baja, PR 00693
Mailing address
Urb. Monte Verde
3144 Calle Monte Coqui
Manati, PR 00674
Phone (787) 366-0163
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 223752 | Other | PR | REGISTRATION |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | alexatiradopsyd@gmail.com |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6298 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576195200000",
"number": "1649816059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB. MONTE VERDE",
"address_2": "3144 CALLE MONTE COQUI",
"city": "MANATI",
"state": "PR",
"postal_code": "00674",
"telephone_number": "787-366-0163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LA PLACITA LOCAL C-10",
"city": "VEGA BAJA",
"state": "PR",
"postal_code": "00693",
"telephone_number": "787-366-0163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIRADO MARTINEZ",
"first_name": "ALEXA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-20",
"last_updated": "2019-12-13",
"certification_date": "2019-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "6298",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTRATION",
"identifier": "223752",
"state": "PR"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "alexatiradopsyd@gmail.com",
"affiliation": "N",
"address_1": "la placita local C-10",
"city": "Vega Baja",
"state": "PR",
"country_code": "US",
"postal_code": "00693",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Vega Baja, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.