Marissa Martinez

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1423 Issued in PR

Practice address

1880 Calle San Joaquin
San Juan, PR 00926-5337

Phone

(787) 632-7688

NPI assigned

Apr 30, 2019

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

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1871157230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 CALLE SAN JOAQUIN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265337",
            "telephone_number": "787-632-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 CALLE SAN JOAQUIN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265337",
            "telephone_number": "787-632-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MARISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-30",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "1423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Martinez, M.D.
• Lydia Martinez
• Marelys Enid Martinez, PHARMD
• Margaret Martinez, RPH
• Mariana Sofia Martinez, MD
• Namyr Antonio Martinez, MD, PHD
• Nancy M Martinez, CRT
• Natalia Marie Martinez, LPC M.ED.
• Neyla Marie Martinez, PHARM.D.
• Neysa M Martinez

• All providers in San Juan, PR
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.