Provider Demographics
NPI:1083757306
Name:BELEN, INES MILAGROS (PHD)
Entity Type:Individual
Prefix:DR
First Name:INES
Middle Name:MILAGROS
Last Name:BELEN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:INES
Other - Middle Name:
Other - Last Name:BELEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS
Mailing Address - Street 1:CALLE 1 A14
Mailing Address - Street 2:PARQUE SAN MIGUEL
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959
Mailing Address - Country:US
Mailing Address - Phone:787-251-7583
Mailing Address - Fax:787-251-7583
Practice Address - Street 1:MARGINAL CARRETERA167
Practice Address - Street 2:EXT FOREST HILL E55 APT. A
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-740-7823
Practice Address - Fax:787-740-7823
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR400103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical