Provider Demographics
NPI:1558913285
Name:CABOT-CARLO, ARLENE A (BA)
Entity Type:Individual
Prefix:MRS
First Name:ARLENE
Middle Name:A
Last Name:CABOT-CARLO
Suffix:
Gender:F
Credentials:BA
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 41
Mailing Address - Street 2:
Mailing Address - City:SAN GERMAN
Mailing Address - State:PR
Mailing Address - Zip Code:00683-0041
Mailing Address - Country:US
Mailing Address - Phone:787-892-2771
Mailing Address - Fax:
Practice Address - Street 1:CARR 360 KM 1.4 TROPICAL GARDENS 3R BULDING OFFICE 1
Practice Address - Street 2:
Practice Address - City:SAN GERMAN
Practice Address - State:PR
Practice Address - Zip Code:00683-0041
Practice Address - Country:US
Practice Address - Phone:787-892-2771
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-12
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3194103TS0200X
PR986225X00000X, 225XF0002X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XF0002XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistFeeding, Eating & Swallowing