Provider Demographics
NPI:1629736814
Name:LABOY TORRES, CAROLINE DIANE (PSYD)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:DIANE
Last Name:LABOY TORRES
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1244 CALLE MANUEL A BARRETO
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00682-1171
Mailing Address - Country:US
Mailing Address - Phone:787-464-6288
Mailing Address - Fax:
Practice Address - Street 1:1244 CALLE MANUEL A BARRETO
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00682-1171
Practice Address - Country:US
Practice Address - Phone:787-464-6288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-04
Last Update Date:2021-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7180103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty