Healthcare Provider Details

I. General information

NPI: 1477284263
Provider Name (Legal Business Name): KIARA ALEXANDRA ALVARADO RENTAS PSICOLOGA CLINICA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KIARA ALEXANDRA ALVARADO RENTAS PSICOLOGA CLINICA

II. Dates (important events)

Enumeration Date: 06/22/2022
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

GARCIA APARTMENTS EDIFICIO 1 LOCAL 63 CALLE VITUD
PONCE PR
00730
US

IV. Provider business mailing address

HC 2 BOX 4652
VILLALBA PR
00766-9727
US

V. Phone/Fax

Practice location:
  • Phone: 787-530-4652
  • Fax:
Mailing address:
  • Phone: 787-363-1082
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number8628
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: