Provider Demographics
NPI:1558259176
Name:MARTINEZ, ALESSANDRA M (MPSY)
Entity type:Individual
Prefix:
First Name:ALESSANDRA
Middle Name:M
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:MPSY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:I15 CALLE OSLO
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-2247
Mailing Address - Country:US
Mailing Address - Phone:787-207-3474
Mailing Address - Fax:
Practice Address - Street 1:51 CALLE ESCUTE
Practice Address - Street 2:
Practice Address - City:JUNCOS
Practice Address - State:PR
Practice Address - Zip Code:00777-3417
Practice Address - Country:US
Practice Address - Phone:787-561-3582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7974103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling