Individual
DR. LOURDES FUENTES FONSECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY D
Contact information
Practice address
301 CALLE RECINTO S, CONDOMINIO GALLARDO OFIC 401-A, SAN JUAN, PR 00901-1960
(787) 365-9572
(787) 725-5886
Mailing address
PO BOX 9023252, SAN JUAN, PR 00902-3252
(787) 365-9572
(787) 725-5886
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2108
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2466
APS HUMANA
PR
01
—
500950
FHC
PR
01
—
56610
SSS
PR
01
—
P559
FIRST MEDICAL
PR
Enumeration date
05/02/2007
Last updated
10/19/2016
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