Individual provider Active NPI

Viviannette Martinez

  • Counseling Psychologist
  • Isabela, PR
National Provider Identifier
1942999115
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
6828 Issued in PR
Practice address
300 Ave Noel Estrada
Isabela, PR 00662-3275
Phone
(787) 669-3815
NPI assigned
May 3, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 6828 PR Primary

Addresses

Primary practice location

300 Ave Noel Estrada
Isabela, PR 00662-3275

Mailing address

HC 1 Box 15330
Aguadilla, PR 00603-9342
Phone (787) 502-6286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6828PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Umbrella of Purpose and Hope LLC CurrentSince May 7, 2023 Accepting new patients

Locations

300 Ave Noel Estrada
Isabela, PR 00662
Phone (787) 546-3383

Organizations & group practices 1

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": "1683072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1942999115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 15330",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006039342",
            "telephone_number": "787-502-6286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 AVE NOEL ESTRADA",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006623275",
            "telephone_number": "787-669-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "VIVIANNETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "6828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Isabela, PR

Sources for this page

Verify at the official NPI Registry.