Healthcare Provider Details

I. General information

NPI: 1063344893
Provider Name (Legal Business Name): MILCA FELIPE MARTINEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

VILLA NUEVA B22 CALLE 2
CAGUAS PR
00727-6902
US

IV. Provider business mailing address

B22 CALLE 2 URB VILLA NUEVA
CAGUAS PR
00727-6902
US

V. Phone/Fax

Practice location:
  • Phone: 787-960-6200
  • Fax:
Mailing address:
  • Phone: 787-960-6200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number5926
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: