Provider Demographics
NPI:1124692157
Name:GUERRIDO PIZARRO, ROSS MARIE
Entity type:Individual
Prefix:
First Name:ROSS
Middle Name:MARIE
Last Name:GUERRIDO PIZARRO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALE 4 E-23
Mailing Address - Street 2:URBANIZACION ROSA MARIA
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00985
Mailing Address - Country:US
Mailing Address - Phone:787-949-8465
Mailing Address - Fax:
Practice Address - Street 1:CALLE 4 E-23
Practice Address - Street 2:URBANIZACIO ROSA MARIA
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985
Practice Address - Country:US
Practice Address - Phone:787-949-8465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-14
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6064103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist