Healthcare Provider Details

I. General information

NPI: 1114833381
Provider Name (Legal Business Name): ELIZABETH CARRERAS PSY.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

GRAND HEALTH CENTER, CALLE VILLA, ESQ CONCORDIA 399
PONCE PR
00717
US

IV. Provider business mailing address

HC 1 BOX 5098
SALINAS PR
00751-9763
US

V. Phone/Fax

Practice location:
  • Phone: 939-459-0938
  • Fax:
Mailing address:
  • Phone: 787-678-6305
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number8996
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: