Provider Demographics
NPI:1588092134
Name:CARRION, DAIBER NAILEEN (MA)
Entity type:Individual
Prefix:MISS
First Name:DAIBER
Middle Name:NAILEEN
Last Name:CARRION
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:D11 CALLE C
Mailing Address - Street 2:BAIROA GOLDEN GATE 1
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727-1156
Mailing Address - Country:US
Mailing Address - Phone:787-714-4000
Mailing Address - Fax:787-714-4000
Practice Address - Street 1:CARR. 172 KM 7.6 BO. CERTENEJAS
Practice Address - Street 2:
Practice Address - City:CIDRA
Practice Address - State:PR
Practice Address - Zip Code:00739-9719
Practice Address - Country:US
Practice Address - Phone:787-714-4000
Practice Address - Fax:787-714-4000
Is Sole Proprietor?:No
Enumeration Date:2013-10-17
Last Update Date:2013-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5298103T00000X, 103TA0700X, 103TB0200X, 103TC1900X, 103TF0000X, 103TH0004X, 103TH0100X, 103TP2701X, 103TR0400X, 103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & Aging
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
No103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth
No103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy
No103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitation
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool