Provider Demographics
NPI:1326187394
Name:OLAVARRIA, MAYRA (PHD)
Entity Type:Individual
Prefix:DR
First Name:MAYRA
Middle Name:
Last Name:OLAVARRIA
Suffix:
Gender:F
Credentials:PHD
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Other - Credentials:
Mailing Address - Street 1:PO BOX 365067
Mailing Address - Street 2:DEPARTAMENTO DE PSIQUIATRIA
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-5067
Mailing Address - Country:US
Mailing Address - Phone:787-777-3535
Mailing Address - Fax:787-764-7004
Practice Address - Street 1:NINTH FLOOR OFFICE 954
Practice Address - Street 2:UPR MEDICAL SCIENCES CAMPUS MAIN BUILDING
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-758-2525
Practice Address - Fax:787-766-0940
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2010-06-29
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Provider Licenses
StateLicense IDTaxonomies
PR2273103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical