Provider Demographics
NPI:1447477138
Name:GARRIDO, MARIA DEL CARMEN (MA)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:DEL CARMEN
Last Name:GARRIDO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1576
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSTED
Mailing Address - State:VI
Mailing Address - Zip Code:00821-1576
Mailing Address - Country:US
Mailing Address - Phone:340-626-7972
Mailing Address - Fax:340-778-3573
Practice Address - Street 1:LUTHERAN PARISH HALL (SECOND FLOOR)
Practice Address - Street 2:51 KING STREET
Practice Address - City:CHRISTIANSTED
Practice Address - State:VI
Practice Address - Zip Code:00820
Practice Address - Country:US
Practice Address - Phone:340-626-7972
Practice Address - Fax:340-778-3573
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI98-009103T00000X
PR520103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist