Healthcare Provider Details

I. General information

NPI: 1851138770
Provider Name (Legal Business Name): JULIANNA YNAIZ MARTINEZ-TORO MS, PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2024
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BARRIO MACHETE CARR. 744 K.M 1.2
GUAYAMA PR
00784
US

IV. Provider business mailing address

PO BOX 762
HORMIGUEROS PR
00660-0762
US

V. Phone/Fax

Practice location:
  • Phone: 787-864-2222
  • Fax:
Mailing address:
  • Phone: 787-864-2222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number6669
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number6669
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: