MEDICARE: CAROLINE DE LEON FRIAS PSY

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	103TC1900X	Counseling Psychologist	8703	PR

General Provider Information

NPI Number	:	1750233136
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE DE LEON FRIAS PSY

Provider Business Mailing Address
First Line	:	2PL244 VIA 8
Second Line	:
City	:	CAROLINA
State	:	PR
Zip	:	00983-3848
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1211 CALLE 3
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00926-1833
Country	:	US
Telephone Number	:	787-759-2121
Fax Number	:

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

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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Directions to “ CAROLINE DE LEON FRIAS PSY” Practice Location

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