Individual provider Active NPI

Mayra Alexandra Abelleira Martinez, M.D.

  • Psychiatry Physician
  • Rockledge, FL
National Provider Identifier
1669819983
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME137564 Issued in FL
Practice address
1007 Pathfinder Way Ste 120
Rockledge, FL 32955-3243
Phone
(321) 507-4033
NPI assigned
May 28, 2013
Last updated
Oct 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 19270 PR
Student in an Organized Health Care Education/Training Program 390200000X PR
Psychiatry Physician 2084P0800X ME137564 FL Primary

Addresses

Primary practice location

1007 Pathfinder Way Ste 120
Rockledge, FL 32955-3243

Mailing address

1007 Pathfinder Way Ste 120
Rockledge, FL 32955-3243
Phone (321) 507-4033

Other practice location 1

Hospital de Psiquitria Dr Ramon Fernandez Marina
Cond Maga Bo Monacillos Centro Medico
San Juan, PR 00907
Phone (787) 766-4646

Other practice location 2

University District Hospital
Puerto Rico Medical Center Bo. Monacillos
San Juan, PR 00935-0001
Phone (787) 754-0101

Other practice location 3

2355 Truman Scarborough Way
Titusville, FL 32796-1310
Phone (321) 603-6550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181102001343 PR Practitioner - Psychiatry 4486907748 Practice locations: Bayamon, PR
I20181210003044 FL Practitioner - Psychiatry 4486907748 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Puerto Rico School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clear As a Bell Psychiatric Providers, IncGroup PAC ID 8729436464, 4 clinicians
Palm Point Behavioral Health LLCGroup PAC ID 0345504528, 5 clinicians

Practice addresses (Care Compare)

1007 Pathfinder Way
Suite 120
Rockledge, FL 32955-3243
Phone (321) 507-4033

2355 Truman Scarborough Way
Titusville, FL 32796-1310
Phone (321) 603-6550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME137564FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clear As a Bell Psychiatric Providers, Inc Single Specialty CurrentSince Oct 19, 2023 Accepting new patients
Palm Point Behavioral Health LLC Single Specialty CurrentSince Nov 5, 2018 Accepting new patients
Capsi Inc Past Accepting new patients

Locations

1007 Pathfinder Way
Ste 120
Rockledge, FL 32955
Phone (321) 507-4033

2355 Truman Scarborough Way
Titusville, FL 32796
Phone (321) 210-2813

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1669819983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 PATHFINDER WAY STE 120",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553243",
            "telephone_number": "321-507-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 PATHFINDER WAY STE 120",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553243",
            "telephone_number": "321-507-4033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "HOSPITAL DE PSIQUITRIA DR RAMON FERNANDEZ MARINA",
            "address_2": "COND MAGA BO MONACILLOS CENTRO MEDICO",
            "address_purpose": "LOCATION",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00907",
            "country_code": "US",
            "telephone_number": "787-766-4646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "University District Hospital",
            "address_2": "PUERTO RICO MEDICAL CENTER BO. MONACILLOS",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009350001",
            "country_code": "US",
            "telephone_number": "787-754-0101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2355 Truman Scarborough Way",
            "address_purpose": "LOCATION",
            "city": "Titusville",
            "state": "FL",
            "postal_code": "327961310",
            "country_code": "US",
            "telephone_number": "321-603-6550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABELLEIRA MARTINEZ",
        "first_name": "MAYRA",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-28",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "19270",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME137564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

Verify at the official NPI Registry.