Provider Demographics
NPI:1588681209
Name:FOLCH-SERRANO, KAREN D (PHD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:D
Last Name:FOLCH-SERRANO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:KAREN
Other - Middle Name:D
Other - Last Name:FOLCH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:611 CALLE DR PAVIA FERNANDEZ STE 213
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00909-2244
Mailing Address - Country:US
Mailing Address - Phone:939-286-6643
Mailing Address - Fax:
Practice Address - Street 1:611 CALLE DR. PAVIA FERNANDEZ STE 213
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909-2244
Practice Address - Country:US
Practice Address - Phone:939-286-6643
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1573103TF0200X, 103TA0700X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic
No103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & Aging
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRP73481Medicare UPIN
PR0055342Medicare ID - Type UnspecifiedCLINICAL PSYCHOLOGIST