Paola Carminelli Corretjer
Individual provider Active NPI Clinical Psychologist · San Juan, PR
NPI 1083230973 · NPPES record last updated Sep 13, 2023
Key facts
- NPI
- 1083230973
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 7302 (PR)
- Practice address
- 1451 Ave Ashford
San Juan, PR 00907-1511 - Phone
- (787) 399-0149
- NPI assigned
- Jun 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7302 | PR | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 7302 | PR | Yes |
Addresses
Primary practice location
1451 Ave Ashford
San Juan, PR 00907-1511
Mailing address
350 Ave Carlos Chardon Ste 700
San Juan, PR 00918-2140
Other providers in San Juan, PR
- Carlos Selles Hernandez Centro Quriropractico del Parque
- Francisco Jose Carlos
- Carmelo Neira Lugo
- Carmen Diaz
- Carmen M Marrero Rodriguez
- Luis Carminelli
- Carolina Carmona-Lopez
- Alejandro Carmona
- Lourdes M Carmona
- Rosa Raquel Carmona
All providers in San Juan, PR · Clinical Psychologist in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.