Provider Demographics
NPI:1144987603
Name:FEBLES BATISTA, KARLA MILAGROS (MS)
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:MILAGROS
Last Name:FEBLES BATISTA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2926 CALLE VANNINA
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717-2212
Mailing Address - Country:US
Mailing Address - Phone:787-633-8083
Mailing Address - Fax:
Practice Address - Street 1:1493 CALLE ELMIRA
Practice Address - Street 2:LOCAL COMERCIAL #3, CAPARRA HEIGHTS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00920
Practice Address - Country:US
Practice Address - Phone:787-974-1929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-19
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6211103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist