Individual provider · NPI-1
Coralis D Arroyo Roman
Psychologist, Clinical Child & Adolescent · Mayaguez, PR
NPI number1851044457
StatusActive
Last updated in NPPESNov 7, 2023
Details
- NPI
- 1851044457
- Entity type
- Individual (NPI-1)
- Name
- Coralis D Arroyo Roman
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 2, 2022
- Certification date
- Nov 6, 2023
- Last updated
- Nov 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC2200X | Psychologist, Clinical Child & Adolescent | 6612 | PR | Yes |
| 102L00000X | Psychoanalyst | 6612 | PR | |
| 103TA0400X | Psychologist, Addiction (Substance Use Disorder) | 6612 | PR | |
| 103TC0700X | Psychologist, Clinical | 6612 | PR | |
| 103TC1900X | Psychologist, Counseling | 6612 | PR | |
| 103TF0000X | Psychologist, Family | 6612 | PR | |
| 103TP2701X | Psychologist, Group Psychotherapy | 6612 | PR |
Practice location
Carretera #2 Kilometro 156.5Medical Emporium L Suite #203
Mayaguez, PR 00680
Phone 787-376-7589
Mailing address
Po Box 771Aguada, PR 00602-0771
Phone 787-963-7070
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