Provider Demographics
NPI:1689114472
Name:ALAMO MARTINEZ, KYRIA M (PSYD)
Entity Type:Individual
Prefix:DR
First Name:KYRIA
Middle Name:M
Last Name:ALAMO MARTINEZ
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 CALLE 5
Mailing Address - Street 2:SAN ANTONIO
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-5720
Mailing Address - Country:US
Mailing Address - Phone:787-944-9722
Mailing Address - Fax:
Practice Address - Street 1:CARR. 659 KM 2.9
Practice Address - Street 2:
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646
Practice Address - Country:US
Practice Address - Phone:787-944-9722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-28
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5755103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist