Fatima M Martinez, PSYCHOLOGIST

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

2413 Issued in PR

Practice address

Avenida 65TH Infanteria Ext San Agustin
362
San Juan, PR 00924

Phone

(939) 338-3465

NPI assigned

Aug 20, 2019

Last updated

Aug 20, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Advanced Psychoeducational Services Inc

  • Clinical Child & Adolescent Psychologist
  • San Juan, PR
  • NPI 1467009688
  NPD Authorized official

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1770130361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVENIDA 65TH INFANTERIA EXT SAN AGUSTIN",
            "address_2": "362",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENIDA 65TH INFANTERIA EXT SAN AGUSTIN",
            "address_2": "362",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00924",
            "telephone_number": "939-338-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "FATIMA",
        "middle_name": "M",
        "credential": "PSYCHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PR",
            "license": "2413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dalirma Martinez, RPH
• Daniela Victoria Martinez
• Diane Marie Martinez, MD
• Elizabeth E Martinez, PH. D.
• Fabiola Igneris Martinez
• Gabriel Martinez, DC
• Ivette Maria Martinez, D.M.D.
• Ivonne Marie Martinez
• Jean Carlos Martinez
• Jose A Martinez, RN

• Clinical Child & Adolescent Psychologist in San Juan, PR
• Providers in San Juan, PR by specialty
• Clinical Child & Adolescent Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.

Verify at the official NPI Registry.