Provider Demographics
NPI:1396068169
Name:MARTORELL, ADRIANA (PHD)
Entity type:Individual
Prefix:
First Name:ADRIANA
Middle Name:
Last Name:MARTORELL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE ACUARELA 3-A URB MUNOZ RIVERA
Mailing Address - Street 2:OFIC G-2
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:787-590-5824
Mailing Address - Fax:787-620-2656
Practice Address - Street 1:CALLE ACUARELA 3-A URB MUNOZ RIVERA
Practice Address - Street 2:OFIC G-2
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969
Practice Address - Country:US
Practice Address - Phone:787-590-5824
Practice Address - Fax:787-620-2656
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-09
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3588103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist