MEDICARE: ALONDRA MARIELISA PASTRANA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	8495	PR

General Provider Information

NPI Number	:	1639038433
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALONDRA MARIELISA PASTRANA

Provider Business Mailing Address
First Line	:	HC 645 BOX 8186
Second Line	:
City	:	TRUJILLO ALTO
State	:	PR
Zip	:	00976-9772
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 CALLE B
Second Line	:
City	:	BAYAMON
State	:	PR
Zip	:	00959-5327
Country	:	US
Telephone Number	:	787-608-2626
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/17/2026
Last Update Date	:	01/17/2026

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