Provider Demographics
NPI:1801483003
Name:MARTINEZ CASIANO, KARLA DENNISE (PHD)
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:DENNISE
Last Name:MARTINEZ CASIANO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:EXTENSION COQUI
Mailing Address - Street 2:C/ PALOMA #37
Mailing Address - City:SALINAS
Mailing Address - State:PR
Mailing Address - Zip Code:00704
Mailing Address - Country:US
Mailing Address - Phone:787-450-7476
Mailing Address - Fax:
Practice Address - Street 1:MEDICAL EMPORIUM II
Practice Address - Street 2:EDIFICIO SANTANDER SUITE 307
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:939-218-4299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-22
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6382103TC0700X
103TR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitation