Marissa Martinez
Psychologist, Clinical in San Juan, PR. Individual provider (NPI-1).
NPI number1871157230
StatusActive
Last updated in NPPESApr 30, 2019
Details
- NPI
- 1871157230
- Entity type
- Individual (NPI-1)
- Name
- Marissa Martinez
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 30, 2019
- Last updated
- Apr 30, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 1423 | PR | Yes |
Practice location
1880 Calle San JoaquinSan Juan, PR 00926-5337
Phone 787-632-7688
Mailing address
1880 Calle San JoaquinSan Juan, PR 00926-5337
Phone 787-632-7688
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