Individual
DR. ELIZABETH PENA PAYERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
3326 PASEO CARMEN, TOA BAJA, PR 00949-3136
(939) 399-3371
(939) 399-3372
Mailing address
9 CALLE CAPRICORNIO, CAROLINA, PR 00979-4008
(787) 449-0817
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6854
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01
NON MEDICARE
PR
Enumeration date
02/01/2019
Last updated
02/01/2019
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