Provider Demographics
NPI:1306547716
Name:MALBERT NARVAEZ, JULEYKA JOAN (PSYD)
Entity type:Individual
Prefix:
First Name:JULEYKA
Middle Name:JOAN
Last Name:MALBERT NARVAEZ
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:JULEYKA
Other - Middle Name:JOAN
Other - Last Name:MALBERT NARVAEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:URB PUNTO ORO CALLE LA DIANA 3521
Mailing Address - Street 2:URB PUNTO ORO CALLE LA DIANA 3521
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00728
Mailing Address - Country:US
Mailing Address - Phone:787-632-9122
Mailing Address - Fax:
Practice Address - Street 1:MARGINAL LUIS F SALAS
Practice Address - Street 2:ZONA INDUSTRIAL REPARADA #388
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716-2347
Practice Address - Country:US
Practice Address - Phone:787-812-2525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7376103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical