Individual provider Active NPI

Pedro R. Martinez, M.C.,M.H.C.,C.P.L.

  • Mental Health Counselor
  • Bayamon, PR
National Provider Identifier
1689794729
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1451 Issued in PR
Practice address
F22 Calle Aragon
Villa Contesa
Bayamon, PR 00956-2778
Phone
(787) 662-6837
NPI assigned
Mar 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1451 PR Primary

Addresses

Primary practice location

F22 Calle Aragon
Villa Contesa
Bayamon, PR 00956-2778

Mailing address

F22 Calle Aragon
Villa Contesa
Bayamon, PR 00956-2778
Phone (787) 662-6837

Other names 1

  • Mr. Pedro R. 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1451PRMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689794729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "F22 CALLE ARAGON",
            "address_2": "VILLA CONTESA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009562778",
            "telephone_number": "787-662-6837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "F22 CALLE ARAGON",
            "address_2": "VILLA CONTESA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009562778",
            "telephone_number": "787-662-6837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "PEDRO",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "credential": "M.C.,M.H.C.,C.P.L.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PR",
            "license": "1451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PEDRO",
            "last_name": "MARTINEZ",
            "middle_name": "R.",
            "prefix": "MR.",
            "credential": "M.C.,M.H.C.,C.P.L.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.