Provider Demographics
NPI:1144501198
Name:VILLARRUBIA SOTO, ALLARY (PHD)
Entity type:Individual
Prefix:DR
First Name:ALLARY
Middle Name:
Last Name:VILLARRUBIA SOTO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RR 2 BOX 4373
Mailing Address - Street 2:
Mailing Address - City:ANASCO
Mailing Address - State:PR
Mailing Address - Zip Code:00610-9809
Mailing Address - Country:US
Mailing Address - Phone:787-648-4486
Mailing Address - Fax:
Practice Address - Street 1:CARR # 402 KM 2.1
Practice Address - Street 2:BO MARIAS
Practice Address - City:ANASCO
Practice Address - State:PR
Practice Address - Zip Code:00610-9809
Practice Address - Country:US
Practice Address - Phone:787-648-4486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-05
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3972103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical