Healthcare Provider Details

I. General information

NPI: 1255038543
Provider Name (Legal Business Name): MS. LYMARIE CARNOT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/08/2023
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1473 AVE WILSON STE 304
SAN JUAN PR
00907-2364
US

IV. Provider business mailing address

URB. SANTA MARIA #113 CALLE ROMERILLO
SAN JUAN PR
00927
US

V. Phone/Fax

Practice location:
  • Phone: 787-489-0088
  • Fax:
Mailing address:
  • Phone: 787-948-0446
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: