Provider Demographics
NPI:1215401781
Name:PIZARRO, CAROLINE MARIE (PHD)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:MARIE
Last Name:PIZARRO
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:CONDOMINIO LA PUNTILLA CALLE 4
Mailing Address - Street 2:APT 155
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00901-1836
Mailing Address - Country:US
Mailing Address - Phone:787-472-7247
Mailing Address - Fax:
Practice Address - Street 1:CONSOLIDATED MALL B5 ANNEX
Practice Address - Street 2:202 GAUTIER BENITEZ AVE
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-704-0705
Practice Address - Fax:787-744-7444
Is Sole Proprietor?:No
Enumeration Date:2019-01-17
Last Update Date:2019-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR005850103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist