Active NPI
Giselle Martinez Urrutia
- Psychologist
- San Juan, PR
National Provider Identifier
1902224306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 002412
- Practice address
- 46 Calle Zauco
Urb Laderas de San Juan
San Juan, PR 00926 - Phone
- (787) 565-6708
- NPI assigned
- Apr 2, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 002412 | PR | Primary |
Addresses
Primary practice location
46 Calle Zauco
Urb Laderas de San Juan
San Juan, PR 00926
Mailing address
46 Calle Zauco
Urb Laderas de San Juan
San Juan, PR 00926
Phone (787) 565-6708
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002412 | Other | PR | LIC |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2412 | PR | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445904000000",
"number": "1902224306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 CALLE ZAUCO",
"address_2": "URB LADERAS DE SAN JUAN",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-565-6708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 CALLE ZAUCO",
"address_2": "URB LADERAS DE SAN JUAN",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-565-6708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ URRUTIA",
"first_name": "GISELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-02",
"last_updated": "2015-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "002412",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIC",
"identifier": "002412",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
- Silvio R Martinez Ruiz, MD
- Gretel Martinez Sanchez
- Sara E Martinez Santos, LCDA.
- Fernando Martinez Scmidt, M.D.
- Jose A Martinez Toro Sr., M.D.
- Fernando Antonio Martinez-Alvarez, M.SC
- Fernando L Martinez-Colon, MD
- Ada S Martinez-Cruz, MD
- Margarita Maria Martinez-Cruzado, M.D.
- Hildabelis Martinez-Diaz, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.