Aracelis Anavitarte, PSY.D
Individual provider Active NPI Clinical Psychologist · Ponce, PR
NPI 1467764928 · NPPES record last updated Jul 12, 2010
Key facts
- NPI
- 1467764928
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 3497 (PR)
- Practice address
- 3104 Ave Julio E Monagas
Urb. Constancia
Ponce, PR 00717-2200 - Phone
- (787) 647-3162
- NPI assigned
- Jul 12, 2010
- 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 |
|---|---|---|---|
| 3497 | PR | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3497 | PR | Yes |
Addresses
Primary practice location
3104 Ave Julio E Monagas
Urb. Constancia
Ponce, PR 00717-2200
Mailing address
3104 Ave Julio E Monagas
Urb. Constancia
Ponce, PR 00717-2200
Phone (787) 647-3162
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- Michelle Andujar Laboy
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All providers in Ponce, 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 Jul 12, 2010. 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.