Provider Demographics
NPI:1164754099
Name:ARBELO-ARBELO, LILLIANA (MA)
Entity Type:Individual
Prefix:MRS
First Name:LILLIANA
Middle Name:
Last Name:ARBELO-ARBELO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2135 CARR. #2, DRIVE IN PLAZA
Mailing Address - Street 2:SUITE 15, PMB 357
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959
Mailing Address - Country:US
Mailing Address - Phone:787-798-4453
Mailing Address - Fax:787-798-4493
Practice Address - Street 1:EDIF. TOMAS KUILLAN, SEGUNDO PISO
Practice Address - Street 2:LOCAL #16, CARR. 167
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-798-4453
Practice Address - Fax:787-798-4453
Is Sole Proprietor?:No
Enumeration Date:2010-02-03
Last Update Date:2010-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1940103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent