Provider Demographics
NPI:1235381914
Name:SIERRA CASTELLANOS, KAREN M (PHD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:M
Last Name:SIERRA CASTELLANOS
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:PO BOX 460
Mailing Address - Street 2:
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00954-0460
Mailing Address - Country:US
Mailing Address - Phone:787-429-8693
Mailing Address - Fax:
Practice Address - Street 1:1 CALLE 1 URB JARDINES DE TOA ALTA
Practice Address - Street 2:RIO DEL PLATA MALL OFICINA 3C
Practice Address - City:TOA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00954
Practice Address - Country:US
Practice Address - Phone:939-292-2967
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-14
Last Update Date:2018-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR001732103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist