Healthcare Provider Details

I. General information

NPI: 1821968330
Provider Name (Legal Business Name): PAOLA N FEBRES LCDA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/10/2025
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 CALLE EFRAIN CORSINO
LUQUILLO PR
00773
US

IV. Provider business mailing address

URB SANTA ISIDRA 1 CALLE 4 A14
FAJARDO PR
00738
US

V. Phone/Fax

Practice location:
  • Phone: 939-539-6600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number8395
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: