| Doctor Name: | MR. JOSE ALFREDO AQUINO |
| NPI Number: | 1073679700 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA |
| License Number: | 1772 |
| Business Practice Address: | 169 Calle De Diego Rio Piedras, PR - 009253438 |
| Business Phone Number: | 7876333479 |
| Business Fax Number: | 7878764311 |
| Mailing Address: | Po Box 486, GUAYNABO |
| State: | PR |
| Postal Code: | 009700486 |
| Phone Number: | 7876333479 |
| Fax Number: | 7877643118 |
| NPI Enumeration Date: | 12/28/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC2200X |
| License Number: | 1772 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | PR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical Child & Adolescent |
| Taxonomy Definition: | |