| Doctor Name: | IRIS FONTANEZ |
| NPI Number: | 1073848347 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 2850 |
| Business Practice Address: | #355 Font Martelo Ave. Humacao, PR - 00791 |
| Business Phone Number: | 7878520768 |
| Business Fax Number: | 7876560735 |
| Mailing Address: | Urb. Santa Maria Mayor 75 C/8 Apt. B-9, HUMACAO |
| State: | PR |
| Postal Code: | 00791 |
| Phone Number: | 7878520768 |
| Fax Number: | 7876560735 |
| NPI Enumeration Date: | 10/05/2009 |
| NPI Last Update Date: | 10/05/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 2850 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |