Provider Demographics
NPI:1336021146
Name:BORINQUEN PSYCHOLOGY CENTER
Entity type:Organization
Organization Name:BORINQUEN PSYCHOLOGY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JASMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LORENZO CARRERO
Authorized Official - Suffix:
Authorized Official - Credentials:PSY D
Authorized Official - Phone:787-685-4018
Mailing Address - Street 1:HC 60 BOX 12503
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-9257
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:CALLE JOSE ACEVEDO RIVERA CARR 467
Practice Address - Street 2:URB SAN CARLOS LOCAL #1
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603-9998
Practice Address - Country:US
Practice Address - Phone:787-685-4018
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty