Individual provider Active NPI

Kyria M Alamo Martinez, PSY.D

  • Psychologist
  • Dorado, PR
National Provider Identifier
1689114472
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
5755 Issued in PR
Practice address
Carr. 659 KM 2.9
Dorado, PR 00646
Phone
(787) 944-9722
NPI assigned
Feb 28, 2017
Last updated
Jul 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 5755 PR Primary

Addresses

Primary practice location

Carr. 659 KM 2.9
Dorado, PR 00646

Mailing address

107 Calle 5
San Antonio
Dorado, PR 00646-5720
Phone (787) 944-9722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170530001099 PR Practitioner - Clinical Psychologist 9537436365 Practice locations: San Juan, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5755PRMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Alm Psychology Past Accepting new patients
Multidisciplinary Psychological Services, P.S.C. Psychologist Past Accepting new patients

Organizations & group practices 2

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": "1488240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1689114472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CALLE 5",
            "address_2": "SAN ANTONIO",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006465720",
            "telephone_number": "787-944-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 659 KM 2.9",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "787-944-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAMO MARTINEZ",
        "first_name": "KYRIA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-28",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "5755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorado, PR

Sources for this page

Verify at the official NPI Registry.