Basic Information
| Provider Information | |||||||||
| NPI: | 1215401781 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PIZARRO | ||||||||
| FirstName: | CAROLINE | ||||||||
| MiddleName: | MARIE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PH.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | CONDOMINIO LA PUNTILLA CALLE 4 | ||||||||
| Address2: | APT 155 | ||||||||
| City: | SAN JUAN | ||||||||
| State: | PR | ||||||||
| PostalCode: | 009011836 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7874727247 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | CONSOLIDATED MALL B5 ANNEX | ||||||||
| Address2: | 202 GAUTIER BENITEZ AVE | ||||||||
| City: | CAGUAS | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00725 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877040705 | ||||||||
| FaxNumber: | 7877447444 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/17/2019 | ||||||||
| LastUpdateDate: | 01/17/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103T00000X | 005850 | PR | Y | Behavioral Health & Social Service Providers | Psychologist |
No ID Information.