Healthcare Provider Details

I. General information

NPI: 1881997179
Provider Name (Legal Business Name): PIERRE E ALTIERI PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2010
Last Update Date: 10/16/2024
Certification Date: 10/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

396 CALLE DR. LUIS F. SALAS URB. IND REPARADA 2
PONCE PR
00716-0376
US

IV. Provider business mailing address

PO BOX 7004
PONCE PR
00732-7004
US

V. Phone/Fax

Practice location:
  • Phone: 939-248-7709
  • Fax:
Mailing address:
  • Phone: 787-812-2525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number5379
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: