Individual
DR. IVIS S. CARRION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
AVE LAUREL #300 PLAZA LAUREL, BAYAMON, PR 00960
(787) 288-0277
Mailing address
#107 ABERDEEN ST, COLLEGEVILLE, GUAYNABO, PR 00969
(787) 448-7106
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2103
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811965452
MEDICAL CARD SYSTEM
PR
01
—
1969
APS HEALTHCARE
PR
01
—
56705
TRIPLE S, INC
PR
Enumeration date
03/09/2006
Last updated
04/18/2018
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