Healthcare Provider Details

I. General information

NPI: 1225342645
Provider Name (Legal Business Name): WILLIAM A FLECHA PHD, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2010
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 CALLE BORINQUEN SUITE 2-1
TRUJILLO ALTO PR
00976-5981
US

IV. Provider business mailing address

PO BOX 3151
MANATI PR
00674-3151
US

V. Phone/Fax

Practice location:
  • Phone: 123-123-1234
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number4593
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number4593
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: