Individual provider Active NPI

Ettson Alberto Martinez Toro, MD

  • Psychiatry Physician
  • Mayaguez, PR
National Provider Identifier
1831611458
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
19727 Issued in PR
Practice address
Edif la Palma N # M3
Mayaguez, PR 00680-4861
Phone
(939) 287-4269
NPI assigned
Jul 14, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 19727 PR Primary

Addresses

Primary practice location

Edif la Palma N # M3
Mayaguez, PR 00680-4861

Mailing address

HC 2 Box 12286
San German, PR 00683-9576

Other practice location 1

Hc 02
Box 12286
San German, PR 00683
Phone (787) 538-4945

Other identifiers 1

IdentifierTypeStateIssuer
19727OtherPRMEDICAL LICENSE

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221214000597 PR Practitioner - Psychiatry 3577932557 Reassigns benefits to 1 organization
Practice locations: Mayaguez, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Inspira Behavioral Care Corp. CurrentSince Nov 2, 2022 Accepting new patients
Inspira Behavioral Care Corp CurrentSince Nov 2, 2022 Accepting new patients
Inspira Behavioral Care Corp. Current Accepting new patients
First Hosptial Panamericano Past Accepting new patients
Inspira Mental Health Management PastSince Nov 2, 2022 Accepting new patients
San Juan Capestrano Hospital, Inc. Past Accepting new patients

Locations

55 Calle Comercio
Yauco, PR 00698
Phone (787) 267-1810

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1831611458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 12286",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006839576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIF LA PALMA N # M3",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804861",
            "telephone_number": "939-287-4269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Hc 02",
            "address_2": "Box 12286",
            "address_purpose": "LOCATION",
            "city": "San German",
            "state": "PR",
            "postal_code": "00683",
            "country_code": "US",
            "telephone_number": "787-538-4945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ TORO",
        "first_name": "ETTSON",
        "middle_name": "ALBERTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-14",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "19727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "19727",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.