Healthcare Provider Details

I. General information

NPI: 1043022130
Provider Name (Legal Business Name): DEBORAH I HERNANDEZ COLLADO PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/24/2025
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE HERNAN ALVAREZ EDIFICIO PLAZA METROPOLITANA STE 208
SAN GERMAN PR
00683-4188
US

IV. Provider business mailing address

PO BOX 1478
LAJAS PR
00667-1478
US

V. Phone/Fax

Practice location:
  • Phone: 787-212-4935
  • Fax:
Mailing address:
  • Phone: 787-212-4935
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number8166
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: