Provider Demographics
NPI:1124666433
Name:AGUILAR ABREU, LUISITO (PSY D)
Entity type:Individual
Prefix:DR
First Name:LUISITO
Middle Name:
Last Name:AGUILAR ABREU
Suffix:
Gender:
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1122
Mailing Address - Street 2:
Mailing Address - City:HATILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00659-1122
Mailing Address - Country:US
Mailing Address - Phone:787-231-7449
Mailing Address - Fax:
Practice Address - Street 1:CALLE JULIAN BLANCO SOSA # 12
Practice Address - Street 2:
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693
Practice Address - Country:US
Practice Address - Phone:939-496-8979
Practice Address - Fax:787-858-5151
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-17
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6456103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical