Provider Demographics
NPI:1730741877
Name:BEURKET, ALISABEL BEATRIZ (PHD)
Entity type:Individual
Prefix:DR
First Name:ALISABEL
Middle Name:BEATRIZ
Last Name:BEURKET
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:ALISBAEL
Other - Middle Name:BEATRIZ
Other - Last Name:BEURKET
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:2100 BUCARE SUITE 105 CALLE TURQUESA
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:787-404-5933
Mailing Address - Fax:
Practice Address - Street 1:MF57 PLAZA VEINTITRES
Practice Address - Street 2:
Practice Address - City:CATANO
Practice Address - State:PR
Practice Address - Zip Code:00962-6723
Practice Address - Country:US
Practice Address - Phone:787-969-1515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-28
Last Update Date:2019-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6327103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist