Active NPI
Ettson Alberto Martinez Toro, MD
- Psychiatry Physician
- Mayaguez, PR
National Provider Identifier
1831611458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 19727
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19727 | Other | PR | MEDICAL 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inspira Behavioral Care Corp. | Current | Accepting new patients | |
| Inspira Behavioral Care Corp | Current | Accepting new patients | |
| Inspira Behavioral Care Corp. | Current | Accepting new patients | |
| First Hosptial Panamericano | Past | Accepting new patients | |
| Inspira Mental Health Management | Past | 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.
-
- Adult Mental Health Clinic/Center
- Cidra, PR
- NPI 1063928596
-
- Clinic/Center
- Ponce, PR
- NPI 1548084635
-
- Adult Mental Health Clinic/Center
- Coamo, PR
- NPI 1679075212
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mayaguez, PR
- NPI 1922333145
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Guayama, PR
- NPI 1114388691
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ponce, PR
- NPI 1770794745
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.