Doctor Name: | DEBORA FONTANEZ FLECHA |
NPI Number: | 1164664413 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 4018 |
Business Practice Address: | Calle Luis Munoz Rivera 91 Santa Isabel, PR - 00757 |
Business Phone Number: | 7878451188 |
Business Fax Number: | 7878451188 |
Mailing Address: | Po Box 109, HUMACAO |
State: | PR |
Postal Code: | 007920109 |
Phone Number: | 7875596671 |
Fax Number: | 7872852877 |
NPI Enumeration Date: | 04/01/2009 |
NPI Last Update Date: | 12/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 4018 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |