Provider Demographics
NPI:1053521930
Name:AQUINO, ASTRID (MA)
Entity type:Individual
Prefix:MISS
First Name:ASTRID
Middle Name:
Last Name:AQUINO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4T10 CALLE YAGRUMO
Mailing Address - Street 2:LOMAS VERDES
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956-2908
Mailing Address - Country:US
Mailing Address - Phone:787-383-8705
Mailing Address - Fax:787-288-0153
Practice Address - Street 1:H236 CALLE SOFIA
Practice Address - Street 2:URB. FOREST VIEW
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956-2841
Practice Address - Country:US
Practice Address - Phone:787-383-8705
Practice Address - Fax:787-288-0153
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2469103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling