Individual
DR. CARLOS A LADO-CORNEJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
54 CALLE TENERIFE, MAYAGUEZ, PR 00680-1462
(787) 403-4259
(787) 841-4170
Mailing address
PO BOX 2921, MAYAGUEZ, PR 00681-2921
(787) 403-4259
(787) 841-4170
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
02334
PR
103TC0700X
Clinical Psychologist
2334
PR
103TP0016X
Prescribing (Medical) Psychologist
Primary
PSY1507
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100453
CRUZ AZUL
PR
01
—
219027
PREFERED HEALTH PLAN
PR
01
—
2572
HUMANA GOLD PLAN
PR
01
—
2584
REFORMA DE SALUD
PR
01
—
2585
MMM
PR
01
—
4153-5
PROSSAM
PR
01
—
518224
FHC-MCS EAP
PR
01
—
56737LA
TRIPLE S
PR
01
—
66-0642685
WELLPOINT BEHAVIORAL CARE
PR
01
—
660642685
MSC CLASSICARE
PR
01
—
7000007247
REMITENTE DE MEDICARE
PR
Enumeration date
10/05/2005
Last updated
06/04/2023
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