1194445296 NPI number — DR. JULIANA R MILLAN PSYD

Table of content: DR. JULIANA R MILLAN PSYD (NPI 1194445296)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194445296 NPI number — DR. JULIANA R MILLAN PSYD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MILLAN
Provider First Name:
JULIANA
Provider Middle Name:
R
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PSYD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1194445296
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/30/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
100 CARR 115, UNIT 758, UNIT 758
Provider Second Line Business Mailing Address:
UNIT 758
Provider Business Mailing Address City Name:
RINCON
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00677
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-240-4244
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2490 AVE. ALBIZU CAMPOS
Provider Second Line Business Practice Location Address:
SUITE #10
Provider Business Practice Location Address City Name:
RINCON
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00677-0067
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-592-8336
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/30/2022

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103T00000X , with the licence number:  7106 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com