Moreno Martinez, Lourdes
Moreno Martinez, Lourdes is an sole proprietor health care provider with primary practice located at Calle Tomas Davila Martinez 1 , Barceloneta PR 00617. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Moreno Martinez, Lourdes can be contacted via phone (787) 370-7370.Contact Information
Primary practice address
Calle Tomas Davila Martinez 1
Barceloneta PR 00617
Phone: (787) 370-7370
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 3602 | Puerto Rico |
Profile Details
| NPI number | 1255662672 |
|---|---|
| LBN Legal business name | Moreno Martinez, Lourdes |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 25th, 2010 |
| Last updated | May 14th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255662672 | NPPES |
| Puerto Rico | MEDICAID | II799Y |
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