Provider Demographics
NPI:1164753208
Name:CURBELO SERRANO, MARIA L (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:L
Last Name:CURBELO SERRANO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PMB 410
Mailing Address - Street 2:89 DE DIEGO, SUITE 105
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927
Mailing Address - Country:US
Mailing Address - Phone:787-608-5221
Mailing Address - Fax:
Practice Address - Street 1:POLICLINICA FAMILIAR FACTOR
Practice Address - Street 2:CARR. #2 KM. 65.6 BO. FACTOR 1
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-881-2953
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-28
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3528103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR3528OtherLICENCE OF PSYCHOLOGIST