Mayra I Aponte

Individual provider Active NPI Clinical Psychologist · Aguas Buenas, PR

NPI 1902329451 · NPPES record last updated Jul 17, 2017

Key facts

NPI
1902329451
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
1626 (PR)
Practice address
Carretera 174 KM 22.1 Bo Mulas Sector Hucares
Aguas Buenas, PR 00703-8316
Phone
(787) 362-4089
NPI assigned
Jul 17, 2017
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
1626PRMDDentist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 1626 PR
Intellectual & Developmental Disabilities Psychologist 103TM1800X 1626 PR
Clinical Psychologist 103TC0700X 1626 PR Yes
Clinical Child & Adolescent Psychologist 103TC2200X 1626 PR

Addresses

Primary practice location

Carretera 174 KM 22.1 Bo Mulas Sector Hucares
Aguas Buenas, PR 00703-8316

Mailing address

HC 3 Box 14996
Aguas Buenas, PR 00703-8316
Phone (787) 362-4089

Other providers in Aguas Buenas, PR

All providers in Aguas Buenas, PR · Clinical Psychologist in Puerto Rico

Sources for this page

Verify at the official NPI Registry.