Provider Demographics
NPI:1033474093
Name:URENA, KARENT ELIZABETH (MA)
Entity Type:Individual
Prefix:
First Name:KARENT
Middle Name:ELIZABETH
Last Name:URENA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1051 CALLE ELISA CERRA
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-4614
Mailing Address - Country:US
Mailing Address - Phone:787-619-2287
Mailing Address - Fax:
Practice Address - Street 1:451 CALLE PEDRO ESPADA
Practice Address - Street 2:URB ROOSEVELT
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-2837
Practice Address - Country:US
Practice Address - Phone:787-619-2287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-05
Last Update Date:2012-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3318103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling