Maricelis Aquino

Individual provider Active NPI School Psychologist · Vega Alta, PR

NPI 1114394368 · NPPES record last updated Aug 24, 2015

Key facts

NPI
1114394368
Entity type
Individual (NPI type 1)
Primary specialty
School Psychologist 103TS0200X
License
4235 (PR)
Practice address
Plaza del Mar Shopping Center, Carr.693
2DO Nivel Sector Brenas
Vega Alta, PR 00692
Phone
(787) 915-5700
NPI assigned
Aug 24, 2015
Sex
Female
Sole proprietor
No

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
4235PRMDSchool Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 4235 PR Yes

Addresses

Primary practice location

Plaza del Mar Shopping Center, Carr.693
2DO Nivel Sector Brenas
Vega Alta, PR 00692

Mailing address

Plaza del Mar Shopping Center, Carr.693
2DO Nivel Sector Brenas
Vega Alta, PR 00692
Phone (787) 915-5700

Other providers in Vega Alta, PR

All providers in Vega Alta, PR · School Psychologist in Puerto Rico

Sources for this page

Verify at the official NPI Registry.