Provider Demographics
NPI:1316145212
Name:LUIS, ALINA C (PSYD)
Entity type:Individual
Prefix:DR
First Name:ALINA
Middle Name:C
Last Name:LUIS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PMB 095
Mailing Address - Street 2:SUITE 4952
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-4952
Mailing Address - Country:US
Mailing Address - Phone:787-744-4447
Mailing Address - Fax:787-744-4447
Practice Address - Street 1:CENTRO PSICOLOGICO
Practice Address - Street 2:CARR. #1 B12 ALTOS URB. VILLA CARMEN
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-744-4447
Practice Address - Fax:787-744-4447
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR500103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical