Individual provider · Type 1 NPI
Mariely Rivera-Carrasquillo, PhD
Psychiatric Hospital · Gurabo, PR
NPI number
1366735615
Active
Practice location
Camino Los Ucares 458, Sabanera Del Rio
Gurabo, PR 00778-0077
Mailing address
# 458 Camino Los Ucares, Sabanera Del Rio
Gurabo, PR 00778
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist | 103TC0700X | 3932 (PR) |
| Psychiatric Hospital Primary | 283Q00000X | 3932 (PR) |
Psychiatric Hospital: An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
About NPI 1366735615
Mariely Rivera-Carrasquillo, PhD's National Provider Identifier is 1366735615, issued on May 19, 2011. The primary taxonomy on file is Psychiatric Hospital (283Q00000X), and the practice location is in Gurabo, PR. The record was last updated on May 19, 2011.