Provider Demographics
NPI:1154218238
Name:VEGA-GILORMINI, MARILEA (PSYCHOLOGIST)
Entity type:Individual
Prefix:
First Name:MARILEA
Middle Name:
Last Name:VEGA-GILORMINI
Suffix:
Gender:F
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:197 PASEO TRIO VEGABAJENO
Mailing Address - Street 2:
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00693-5818
Mailing Address - Country:US
Mailing Address - Phone:787-548-6022
Mailing Address - Fax:
Practice Address - Street 1:197 PASEO TRIO VEGABAJENO
Practice Address - Street 2:
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693-5818
Practice Address - Country:US
Practice Address - Phone:787-548-6022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-20
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1830103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral