Provider Demographics
NPI:1255207163
Name:QUILES, CAROLINA (PSYD)
Entity type:Individual
Prefix:DR
First Name:CAROLINA
Middle Name:
Last Name:QUILES
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:PO BOX 462
Mailing Address - Street 2:PUERTO REAL
Mailing Address - City:FAJARDO
Mailing Address - State:PR
Mailing Address - Zip Code:00738-0462
Mailing Address - Country:US
Mailing Address - Phone:787-674-0905
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 462
Practice Address - Street 2:PUERTO REAL
Practice Address - City:FAJARDO
Practice Address - State:PR
Practice Address - Zip Code:00738-0462
Practice Address - Country:US
Practice Address - Phone:787-674-0905
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-16
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6408103TC1900X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty