MEDICARE: DR. HECTOR CARRADERO PH.D.

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	103TC0700X	Clinical Psychologist	4828	PR

General Provider Information

NPI Number	:	1831438464
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HECTOR CARRADERO PH.D.

Provider Business Mailing Address
First Line	:	PO BOX 1371
Second Line	:
City	:	CAGUAS
State	:	PR
Zip	:	00726-1371
Country	:	US
Telephone Number	:	787-220-2756
Fax Number	:

Provider Business Practice Location Address
First Line	:	AVE RAFAEL CORDERO, ESQ. TROCHE
Second Line	:
City	:	CAGUAS
State	:	PR
Zip	:	00725-2646
Country	:	US
Telephone Number	:	787-653-0800
Fax Number	:	787-957-7060

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

Provider Enumeration Date	:	02/01/2013
Last Update Date	:	02/27/2020

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