MEDICARE: MIND & SHAPES RESOURCES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist

General Provider Information

NPI Number	:	1578288452
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIND & SHAPES RESOURCES

Provider Business Mailing Address
First Line	:	1294 CALLE JUAN BAIZ
Second Line	:	APDO. 2230
City	:	SAN JUAN
State	:	PR
Zip	:	00924
Country	:	US
Telephone Number	:	787-445-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	COBIAN'S PLAZA AVE PONCE DE LEON 1607
Second Line	:	SUITE 105
City	:	SAN JUAN
State	:	PR
Zip	:	00909-0000
Country	:	US
Telephone Number	:	787-445-5000
Fax Number	:

Authorized Official
Title or Position	:	PSYCHOLOGIST
Name	:	DR. KIANIVETTE MARTINEZ
Credential	:
Telephone Number	:	787-445-5000

Provider Enumeration Date	:	10/04/2022
Last Update Date	:	10/04/2022

Similar Medicare Providers

1538316971 — YANIRA AVILES-BURGOS M.D.
Practice Location Address:

1492 AVE PONCE DE LEON CENTRO EUROPA STE 104
SAN JUAN, PR
00909-0000

Practice Phone: 787-518-5304
Practice Fax: 787-936-7371

1174895726 — ITURREGUI REHAB CENTER CSP
Practice Location Address:

SANTURCE MEDICAL MALL , AVE PONCE DE LEON 1801 SUITE 312
SAN JUAN, PR
00909-0000

Practice Phone: 787-757-2146
Practice Fax: 787-757-2146

1942241427 — JOSE R RODRIGUEZ M.D.
Practice Location Address:

EDIFICIO BETANCOURT 305 , ESQUINA PAVIA FERNANDEZ JUNCOS AVE
SANTURCE, PR
00909-0000

Practice Phone: 787-268-1100
Practice Fax:

1437099611 — PR BIOLOGICS LLC
Practice Location Address:

AVE AMERICO MIRANDA 1408 - 1410
SAN JUAN, PR
00921-0000

Practice Phone: 787-688-5537
Practice Fax:

1922985076 — KIRSY MARIANO
Practice Location Address:

PARCELA FALU CALLE 14 CASA 192
SAN JUAN, PR
00924-0000

Practice Phone: 787-632-4811
Practice Fax:

1689677189 — DR. SYLVIA D CUBANO PEREZ M.D.
Practice Location Address:

1056 M. RIVERA AVE SUITE 511
SAN JUAN, PR
00927-0000

Practice Phone: 787-764-9443
Practice Fax: 787-764-9443

Directions to “MIND & SHAPES RESOURCES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.