Healthcare Provider Details

I. General information

NPI: 1447170857
Provider Name (Legal Business Name): MISS ROBERTHA RUTH DUGUARAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

809 N MAIN ST APT 1F
FALL RIVER MA
02720-3553
US

IV. Provider business mailing address

809 N MAIN ST APT 1F
FALL RIVER MA
02720-3553
US

V. Phone/Fax

Practice location:
  • Phone: 774-777-9211
  • Fax:
Mailing address:
  • Phone: 774-777-9211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: