Provider Demographics
NPI:1033155999
Name:ALEJANDRO-RESTO, MARIA JUDITH II (PSY D)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:JUDITH
Last Name:ALEJANDRO-RESTO
Suffix:II
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 13620
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00908-3620
Mailing Address - Country:US
Mailing Address - Phone:787-438-2427
Mailing Address - Fax:787-724-1141
Practice Address - Street 1:DEGETAU A-8
Practice Address - Street 2:BONEVILLE
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00927
Practice Address - Country:US
Practice Address - Phone:787-724-1141
Practice Address - Fax:787-724-1141
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2621103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical