Provider Demographics
NPI:1184285298
Name:ALVAREZ REMESAL, TANYA IDITH ANN (PSY D -DOCTOR)
Entity type:Individual
Prefix:MRS
First Name:TANYA
Middle Name:IDITH ANN
Last Name:ALVAREZ REMESAL
Suffix:
Gender:
Credentials:PSY D -DOCTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:L29 CALLE 11
Mailing Address - Street 2:
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949-3226
Mailing Address - Country:US
Mailing Address - Phone:787-451-3295
Mailing Address - Fax:
Practice Address - Street 1:L29 CALLE 11
Practice Address - Street 2:
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949-3226
Practice Address - Country:US
Practice Address - Phone:787-451-3295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-28
Last Update Date:2025-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6172103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty