Healthcare Provider Details

I. General information

NPI: 1821979196
Provider Name (Legal Business Name): DR. JATMARIE RODRIGUEZ HANCE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 CALLE M PEREZ FREYTES
ARECIBO PR
00612-4646
US

IV. Provider business mailing address

208 CALLE M PEREZ FREYTES
ARECIBO PR
00612-4646
US

V. Phone/Fax

Practice location:
  • Phone: 787-710-1636
  • Fax:
Mailing address:
  • Phone: 787-710-1636
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number6563
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: