Healthcare Provider Details

I. General information

NPI: 1437068632
Provider Name (Legal Business Name): CRISTINA ANGELICA PALMER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1123 AVE HOSTOS
PONCE PR
00717-0952
US

IV. Provider business mailing address

COND. PASEO DEL REY APT. 2502
PONCE PR
00716
US

V. Phone/Fax

Practice location:
  • Phone: 787-363-6448
  • Fax:
Mailing address:
  • Phone: 787-223-3305
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number9129
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: