Kiara L Cordero Ramirez

Individual provider Active NPI Clinical Child & Adolescent Psychologist · Vega Alta, PR

NPI 1700740966 · NPPES record last updated Jan 14, 2026

Key facts

NPI
1700740966
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Child & Adolescent Psychologist 103TC2200X
License
8684 (PR)
Practice address
3201 El Dorado CLB # 3201
Vega Alta, PR 00692-8860
Phone
(939) 218-3748
NPI assigned
Dec 12, 2025
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

LicenseStateTypeSpecialty
8684PRMDClinical Child & Adolescent Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist
Group: 193400000X SINGLE SPECIALTY GROUP
103TC2200X 8684 PR Yes

Addresses

Primary practice location

3201 El Dorado CLB # 3201
Vega Alta, PR 00692-8860

Mailing address

3201 El Dorado CLB # 3201
Vega Alta, PR 00692-8860
Phone (939) 218-3748

Other providers in Vega Alta, PR

All providers in Vega Alta, PR · Clinical Child & Adolescent Psychologist in Puerto Rico

Sources for this page

Verify at the official NPI Registry.