Jose Pantoja
Individual provider Active NPI Marriage & Family Therapist · Vega Baja, PR
NPI 1164962452 · NPPES record last updated Mar 6, 2017
Key facts
- NPI
- 1164962452
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 1138 (PR)
- Practice address
- D39 Urb Villa Real
Vega Baja, PR 00693-3980 - Phone
- (787) 858-2818
- NPI assigned
- Mar 6, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1138 | PR | Yes |
Addresses
Primary practice location
D39 Urb Villa Real
Vega Baja, PR 00693-3980
Mailing address
D39 Urb Villa Real
Vega Baja, PR 00693-3980
Other providers in Vega Baja, PR
- Joann Alyssa Padilla
- Rosa Marie Pagan
- Panriv Medical Services Corp.
- Carlos Josue Pantoja
- Idanis Pantoja
- Migdalia Pantoja
- Zulma Janet Pantoja
- Isairi Parrilla Cabrera
- Luis A Paz Reyes
- Pearle Vision Center of Puerto Rico, Inc
All providers in Vega Baja, PR · Marriage & Family Therapist in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.