Healthcare Provider Details

I. General information

NPI: 1346113826
Provider Name (Legal Business Name): CLAUDIA BEATRIZ CALZADA GUICHARDO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2025
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27-16 AVE ROBERTO CLEMENTE
CAROLINA PR
00985-5420
US

IV. Provider business mailing address

1783 CARR 21 APT 1606
SAN JUAN PR
00921-3306
US

V. Phone/Fax

Practice location:
  • Phone: 787-276-8123
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number7324
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: