Provider Demographics
NPI:1407064694
Name:MARTINEZ INSERNI, BRENDA (PHD)
Entity type:Individual
Prefix:DR
First Name:BRENDA
Middle Name:
Last Name:MARTINEZ INSERNI
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 1:5 CALLE 10
Mailing Address - Street 2:EXT. SAN AGUSTIN
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-1901
Mailing Address - Country:US
Mailing Address - Phone:787-764-7071
Mailing Address - Fax:
Practice Address - Street 1:REP.ALAMEIN #18
Practice Address - Street 2:65TH. INFANTERY AVE.
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-765-9370
Practice Address - Fax:787-765-4468
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-19
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2337103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical