| Doctor Name: | MS. NILDA R TARAFA |
| NPI Number: | 1003057571 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYCOLOGY-DOCTOR |
| License Number: | 4346 |
| Business Practice Address: | Cond First Federal 1056 Suite 914 Ave. Munoz Rivera San Juan, PR - 00927 |
| Business Phone Number: | 7873156046 |
| Business Fax Number: | 7872964628 |
| Mailing Address: | Po Box 366426, SAN JUAN |
| State: | PR |
| Postal Code: | 009366426 |
| Phone Number: | 7873156046 |
| Fax Number: | 7872964628 |
| NPI Enumeration Date: | 03/13/2009 |
| NPI Last Update Date: | 07/17/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 4346 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |