Healthcare Provider Details

I. General information

NPI: 1427379502
Provider Name (Legal Business Name): PRINTZEL V LARREGOITY-PADRO PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2010
Last Update Date: 03/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1121 AVE MUNOZ RIVERA URB VILLA GRILLASCA
PONCE PR
00717-0635
US

IV. Provider business mailing address

1121 AVE MUNOZ RIVERA URB VILLA GRILLASCA
PONCE PR
00717-0635
US

V. Phone/Fax

Practice location:
  • Phone: 787-840-8545
  • Fax: 787-840-8545
Mailing address:
  • Phone: 787-840-8545
  • Fax: 787-840-8545

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number3248
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: