Provider Demographics
NPI:1780804013
Name:LLORENS QUINONES, MARUCA (PSY D)
Entity type:Individual
Prefix:DR
First Name:MARUCA
Middle Name:
Last Name:LLORENS QUINONES
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BOX 6400
Mailing Address - Street 2:PMB 395
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00737-6400
Mailing Address - Country:US
Mailing Address - Phone:787-635-2656
Mailing Address - Fax:
Practice Address - Street 1:COND. LAS TORRES NORTE
Practice Address - Street 2:PISO 3 OFICINA E-3
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00960
Practice Address - Country:US
Practice Address - Phone:787-635-2656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-27
Last Update Date:2009-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR564101YP2500X
PR2556103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional