Healthcare Provider Details
I. General information
NPI: 1710272075
Provider Name (Legal Business Name): FRANCES D FIGUEROA-FANKHANEL PSY. D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/15/2011
Last Update Date: 06/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
CALLE D- ESTE # I-14 CIUDAD UNIVERSITARIA
TRUJILLO ALTO PR
00976
US
IV. Provider business mailing address
CALLE D- ESTE # I-14 CIUDAD UNIVERSITARIA
TRUJILLO ALTO PR
00976
US
V. Phone/Fax
- Phone: 787-396-1597
- Fax:
- Phone: 787-396-1597
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | 3874 |
| License Number State | PR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: