Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 004712 | PR |
NPI | 1093137937 |
---|---|
Provider Name | Mr. Carlos Alerto Del Pilar |
First Address | Barceloneta, PR 00617 |
Second Address | Barceloneta, PR 00617 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/01/2014 |
Last Update Date | 13/01/2014 |