Healthcare Provider Details

I. General information

NPI: 1093137937
Provider Name (Legal Business Name): CARLOS ALERTO DEL PILAR P.H.D. PSICOLOGO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/13/2014
Last Update Date: 01/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

EDIFICIO POSTERIOR A ANTIGUA ESCUELA JESUS M. RIVERA MUNOZ RIVERA, LOCAL #4
BARCELONETA PR
00617
US

IV. Provider business mailing address

P.O. BOX 464
BARCELONETA PR
00617
US

V. Phone/Fax

Practice location:
  • Phone: 787-320-7545
  • Fax:
Mailing address:
  • Phone: 787-320-7545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number004712
License Number StatePR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: