MEDICARE: LILLYBETTE AMARO PSY. D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	1804	PR

General Provider Information

NPI Number	:	1487857850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LILLYBETTE AMARO PSY. D

Provider Business Mailing Address
First Line	:	L20 CALLE SANTA INES
Second Line	:	URB. SANTA ELVIRA
City	:	CAGUAS
State	:	PR
Zip	:	00725-3434
Country	:	US
Telephone Number	:	787-737-0514
Fax Number	:

Provider Business Practice Location Address
First Line	:	L20 CALLE SANTA INES
Second Line	:	URB. SANTA ELVIRA
City	:	CAGUAS
State	:	PR
Zip	:	00725-3434
Country	:	US
Telephone Number	:	787-737-0514
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2007
Last Update Date	:	07/08/2007

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