Provider Demographics
NPI:1881882645
Name:PIERALDI MATOS, LORRAINE (PSY D)
Entity type:Individual
Prefix:DR
First Name:LORRAINE
Middle Name:
Last Name:PIERALDI MATOS
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:LORRAINE
Other - Middle Name:
Other - Last Name:PIERALDI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSY D
Mailing Address - Street 1:4S18 CALLE TULIPAN
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956-2905
Mailing Address - Country:US
Mailing Address - Phone:787-460-3031
Mailing Address - Fax:
Practice Address - Street 1:CALLE 2 NE 1003 SUITE 2
Practice Address - Street 2:PUERTO NUEVO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00920-8047
Practice Address - Country:US
Practice Address - Phone:787-460-3031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-05
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2781103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical