Individual provider Active NPI

Karla Dennise Martinez Casiano, PHD

  • Clinical Psychologist
  • Mayaguez, PR
National Provider Identifier
1801483003
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6382 Issued in PR
Practice address
Medical Emporium II
Edificio Santander Suite 307
Mayaguez, PR 00680
Phone
(939) 218-4299
NPI assigned
Dec 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 6382 PR Primary

Addresses

Primary practice location

Medical Emporium II
Edificio Santander Suite 307
Mayaguez, PR 00680

Mailing address

Extension Coqui
C/ Paloma #37
Salinas, PR 00704
Phone (787) 450-7476

Other practice location 1

396 Dr. Luis F. Sala 2
Ponce, PR 00716
Phone (787) 812-2525

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6382PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1801483003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EXTENSION COQUI",
            "address_2": "C/ PALOMA #37",
            "city": "SALINAS",
            "state": "PR",
            "postal_code": "00704",
            "telephone_number": "787-450-7476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDICAL EMPORIUM II",
            "address_2": "EDIFICIO SANTANDER SUITE 307",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "939-218-4299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "396 Dr. Luis F. Sala 2",
            "address_purpose": "LOCATION",
            "city": "Ponce",
            "state": "PR",
            "postal_code": "00716",
            "country_code": "US",
            "telephone_number": "787-812-2525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ CASIANO",
        "first_name": "KARLA",
        "middle_name": "DENNISE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-22",
        "last_updated": "2023-12-04",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "6382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.