Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 3318 | PR |
NPI | 1033474093 |
---|---|
Provider Name | Karent Elizabeth Urena |
First Address | San Juan, PR 00907-4614 |
Second Address | San Juan, PR 00918-2837 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2012 |
Last Update Date | 05/07/2012 |