Active NPI
Lydia Martinez
- Clinical Psychologist
- San Juan, PR
National Provider Identifier
1700800893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 426
- Practice address
- Avenida de Diego Calle Canada 1324
Centro de Salud Mental San Patricio
San Juan, PR 00920 - Phone
- (787) 793-2790
- Fax
- (787) 793-1887
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 426 | PR | Primary |
Addresses
Primary practice location
Avenida de Diego Calle Canada 1324
Centro de Salud Mental San Patricio
San Juan, PR 00920
Mailing address
Avenida de Diego Calle Canada 1324
Centro de Salud Mental San Patricio
San Juan, PR 00920
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700800893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "AVENIDA DE DIEGO CALLE CANADA 1324",
"address_2": "CENTRO DE SALUD MENTAL SAN PATRICIO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVENIDA DE DIEGO CALLE CANADA 1324",
"address_2": "CENTRO DE SALUD MENTAL SAN PATRICIO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00920",
"telephone_number": "787-793-2790",
"fax_number": "787-793-1887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "LYDIA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, 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.