Individual
ELISA FRAGOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2042 AVE BORINQUEN, SAN JUAN, PR 00915-3820
(787) 725-5358
Mailing address
2042 AVE BORINQUEN, SAN JUAN, PR 00915-3820
(787) 307-5813
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/11/2019
Last updated
08/21/2024
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