Alfonso, Jennifer

Alfonso, Jennifer is an individual health care provider with primary practice located at D6 Cll Ebano Cond Parque De San Patricio, Guaynabo PR 00968. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counseling is her primary health care specialty. Alfonso, Jennifer can be contacted via phone (787) 914-1130.

Contact Information

Primary practice address
D6 Cll Ebano Cond Parque De San Patricio Guaynabo PR 00968
Phone: (787) 914-1130
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Counseling 103TC1900X 006316 Puerto Rico

Profile Details

NPI number 1508274986
LBN Legal business name Alfonso, Jennifer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2014
Last updated Aug 26th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508274986 NPPES
Massachusetts MEDICAID 1307576
Massachusetts MEDICAID 1303295
Massachusetts Other M18463

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