Provider Demographics
NPI:1124571120
Name:QUILES BARNECET, KARINA (PHD)
Entity Type:Individual
Prefix:DR
First Name:KARINA
Middle Name:
Last Name:QUILES BARNECET
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 1:740 AVE HOSTOS
Mailing Address - Street 2:MEDICAL CENTER PLAZA SUITE 209
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00680
Mailing Address - Country:US
Mailing Address - Phone:787-673-7615
Mailing Address - Fax:
Practice Address - Street 1:740 AVE. HOSTOS
Practice Address - Street 2:MEDICAL CENTER PLAZA SUITE 209
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-673-7615
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-27
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5632103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical