Individual provider Active NPI

Isha Marie Valerio Martinez, MSW

  • Clinical Social Worker
  • Ponce, PR
National Provider Identifier
1790302412
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
24301 Issued in PR
Practice address
Urb Villa del Carmen Ave Constancia
4407
Ponce, PR 00716
Phone
(787) 382-0218
NPI assigned
Jun 29, 2020
Last updated
Jun 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 24301 PR Primary

Addresses

Primary practice location

Urb Villa del Carmen Ave Constancia
4407
Ponce, PR 00716

Mailing address

Urb. Villa del Carmen Ave. Constancia
#4407
Ponce, PR 00716
Phone (787) 382-0218

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL PONCE Direct

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
I20210226000443 PR Practitioner - Clinical Social Worker 4385059211 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24301PRMDClinical Social Worker
15185PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inspira Behavioral Care Corp. Current Accepting new patients
Inspira Behavioral Care Corp CurrentSince Nov 19, 2020 Accepting new patients
Inspira Behavioral Care Corp. CurrentSince Nov 19, 2020 Accepting new patients
Inspira Mental Health Management PastSince Nov 19, 2020 Accepting new patients

Organizations & group practices 4

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": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1790302412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. VILLA DEL CARMEN AVE. CONSTANCIA",
            "address_2": "#4407",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-382-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB VILLA DEL CARMEN AVE CONSTANCIA",
            "address_2": "4407",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-382-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALERIO MARTINEZ",
        "first_name": "ISHA",
        "middle_name": "MARIE",
        "name_prefix": "Prof.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-29",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "24301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "PONCE",
            "affiliation": "N",
            "endpointDescription": "webpage",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "URB VILLA DEL CARMEN CONSTANCIA AVE",
            "address_2": "4407",
            "city": "PONCE",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.