Provider Demographics
NPI:1265231054
Name:PAIZ MARTINEZ, CAROLINA AIDE (MA)
Entity type:Individual
Prefix:
First Name:CAROLINA
Middle Name:AIDE
Last Name:PAIZ MARTINEZ
Suffix:
Gender:
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 PEMBROKE ST APT 2
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-8951
Mailing Address - Country:US
Mailing Address - Phone:970-518-6005
Mailing Address - Fax:
Practice Address - Street 1:19 PEMBROKE ST APT 2
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-8951
Practice Address - Country:US
Practice Address - Phone:970-518-6005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-12
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No103T00000XBehavioral Health & Social Service ProvidersPsychologist