Healthcare Provider Details

I. General information

NPI: 1740147305
Provider Name (Legal Business Name): KAROLINE GRACE BORDOY MOLINA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

A2A AVENIDA LAUREL
BAYAMON PR
00956
US

IV. Provider business mailing address

33 CALLE ALARCON
SAN ANTONIO PR
00690-1402
US

V. Phone/Fax

Practice location:
  • Phone: 787-400-6000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: