Ivelanie Galio

Individual provider Active NPI Clinical Psychologist · Patillas, PR

NPI 1770100174 · NPPES record last updated Oct 27, 2023

Key facts

NPI
1770100174
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
7540 (PR)
Practice address
Urb. Parque del Sol
C12
Patillas, PR 00723
Phone
(787) 613-5761
NPI assigned
Jul 1, 2020
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
7540PRMDClinical Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 7540 PR Yes
Psychologist 103T00000X PR

Addresses

Primary practice location

Urb. Parque del Sol
C12
Patillas, PR 00723

Mailing address

Urb. Parque del Sol C12, Calle 2
Patillas, PR 00723

Other providers in Patillas, PR

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

Sources for this page

Verify at the official NPI Registry.