Provider Demographics
NPI:1073561429
Name:LLAURADOR-CASTILLO, MAYELA (PHD)
Entity Type:Individual
Prefix:DR
First Name:MAYELA
Middle Name:
Last Name:LLAURADOR-CASTILLO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BALCONES DE MONTE REAL
Mailing Address - Street 2:APT. C-1905
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987
Mailing Address - Country:US
Mailing Address - Phone:787-762-3548
Mailing Address - Fax:787-762-3548
Practice Address - Street 1:CAROLINA SHOPP CTR
Practice Address - Street 2:CALLE YUNQUESITO UU-6
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985-5672
Practice Address - Country:US
Practice Address - Phone:787-762-7808
Practice Address - Fax:787-762-3548
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1446103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical