Eileen Marie Avila, PSICOLOGA CLINICA

Individual provider Active NPI Clinical Psychologist · Hatillo, PR

NPI 1104240746 · NPPES record last updated Mar 10, 2026

Key facts

NPI
1104240746
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
005385 (PR)
Practice address
Atlantic View Building Suite #3
Hatillo, PR 00659
Phone
(939) 644-4430
NPI assigned
Feb 18, 2014
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
005385PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aps Healthcare Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 005385 PR Yes

Addresses

Primary practice location

Atlantic View Building Suite #3
Hatillo, PR 00659

Mailing address

HC 5 Box 94184
Arecibo, PR 00612-9625
Phone (939) 644-4430

Other providers in Hatillo, PR

All providers in Hatillo, PR · Clinical Psychologist in Puerto Rico

Sources for this page

Verify at the official NPI Registry.