Healthcare Provider Details

I. General information

NPI: 1285791749
Provider Name (Legal Business Name): DEBORAH JUARBE PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 12/21/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

FRAGOSO 4AS VILLA FONTANA
CAROLINA PR
00983
US

IV. Provider business mailing address

KANSAS P319 ROLLING HILLS
CAROLINA PR
00987
US

V. Phone/Fax

Practice location:
  • Phone: 787-649-4037
  • Fax: 787-762-4520
Mailing address:
  • Phone: 787-649-4037
  • Fax: 787-762-4520

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number2661
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: