Individual
DR. AIDA LUZ ORTIZ- MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D; PSY.D.
Contact information
Practice address
12 CALLE MIGUEL CASILLAS, HUMACAO, PR 00791-3638
(787) 850-9093
(787) 850-9094
Mailing address
PO BOX 9121, HUMACAO, PR 00792-9121
(787) 850-9093
(787) 850-9094
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
1574
PR
103TS0200X
School Psychologist
1574
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11475
UNITED HEALTHCARE
PR
01
—
15-1574
MCS
PR
01
—
61-00141
COSMOS
PR
01
—
CRUZ AZUL
CRUZ AZUL DE PR
PR
Enumeration date
07/06/2006
Last updated
10/26/2016
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