Provider Demographics
NPI:1891546800
Name:QUINONES-BERRIOS, ARELIZ
Entity Type:Individual
Prefix:
First Name:ARELIZ
Middle Name:
Last Name:QUINONES-BERRIOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 CARR 831 APT 1341
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956-9562
Mailing Address - Country:US
Mailing Address - Phone:178-755-0117
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSIDAD DE PUERTO RICO
Practice Address - Street 2:16 AVE. UNIVERSIDAD SUITE 1601
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00925-2536
Practice Address - Country:US
Practice Address - Phone:787-764-0000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-28
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1940103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling