Healthcare Provider Details

I. General information

NPI: 1215773528
Provider Name (Legal Business Name): NATACHA AGRONT PITRE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2024
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR. #2 KM 119, BO. CEIBA BAJA
AGUADILLA PR
00603
US

IV. Provider business mailing address

PO BOX 5030 PMB 2304
AGUADILLA PR
00605-5030
US

V. Phone/Fax

Practice location:
  • Phone: 939-410-0282
  • Fax:
Mailing address:
  • Phone: 939-410-0282
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number007904
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: