MEDICARE: DR. MARGARITA LAGUNA PSYD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	3246	PR

General Provider Information

NPI Number	:	1689816522
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARGARITA LAGUNA PSYD

Provider Business Mailing Address
First Line	:	MONTECASINO HEIGHTS 125
Second Line	:	CALLE RIO LAJAS
City	:	TOA ALTA
State	:	PR
Zip	:	00953-3750
Country	:	US
Telephone Number	:	787-779-2294
Fax Number	:	787-779-2294

Provider Business Practice Location Address
First Line	:	MONTECASINO HEIGHTS 125
Second Line	:	CALLE RIO LAJAS
City	:	TOA ALTA
State	:	PR
Zip	:	00953-3750
Country	:	US
Telephone Number	:	787-779-2294
Fax Number	:	787-779-2294

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2009
Last Update Date	:	03/24/2009

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