Healthcare Provider Details

I. General information

NPI: 1710808472
Provider Name (Legal Business Name): FABIOLA MARIE FLORES MOJICA PSYCHOLOGIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARRETERA #19 KM. 0.6 MONACILLO
SAN JUAN PR
00926
US

IV. Provider business mailing address

URB. OLYMPIC VILLE CALLE AMSTERDAM A9
LAS PIEDRAS PR
00771
US

V. Phone/Fax

Practice location:
  • Phone: 787-783-2226
  • Fax:
Mailing address:
  • Phone: 787-383-7922
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number9035
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: