Healthcare Provider Details

I. General information

NPI: 1932010048
Provider Name (Legal Business Name): CARIBBEAN CENTER FOR INNOVATIVE PSYCHIATRIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

368 CALLE DE DIEGO APT 602
SAN JUAN PR
00923-2928
US

IV. Provider business mailing address

18 AVE CARLOS CHARDON BOX 095
SAN JUAN PR
00918
US

V. Phone/Fax

Practice location:
  • Phone: 919-888-2113
  • Fax:
Mailing address:
  • Phone: 919-888-2113
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: KAREN G. MARTINEZ-GONZALEZ
Title or Position: OWNER/MD
Credential: MD
Phone: 787-758-2525