Healthcare Provider Details

I. General information

NPI: 1932536133
Provider Name (Legal Business Name): CAROLINE MACLAY MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2013
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 CALLE BALDORIOTY
MANATI PR
00674-5035
US

IV. Provider business mailing address

130 AVE ARTERIAL HOSTOS APT A301
SAN JUAN PR
00918-5201
US

V. Phone/Fax

Practice location:
  • Phone: 787-327-5422
  • Fax:
Mailing address:
  • Phone: 787-400-3401
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number3901
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: