Individual
DR. KIANIVETTE MARTINEZ CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
COBIAN'S PLAZA AVE PONCE DE LEON 1607, SUITE 105, SAN JUAN, PR 00909
(787) 445-5000
Mailing address
1294 CALLE JUAN BAIZ, APDO. 2230, SAN JUAN, PR 00924
(787) 445-5000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3005
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039175001
—
PR
Enumeration date
04/11/2008
Last updated
10/05/2022
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