=====================================================
General NPI Number Information
=====================================================
NPI Number | 1447516893
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | EMMA KATIRIA FRANCISCO M.A.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/10/2012
-----------------------------------------------------
Last Update Date | 04/10/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | URBANIZACION OREALLY #9 CALLE 1
-----------------------------------------------------
City | GURABO
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00778-0778
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 193-932-5421
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | URB.OREILLY # 9 1
-----------------------------------------------------
City | GURABO
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00778
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 939-325-4211
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103T00000X
-----------------------------------------------------
Taxonomy Name | Psychologist
-----------------------------------------------------
License Number | 003657
-----------------------------------------------------
License Number State | PR
-----------------------------------------------------