Provider Demographics
NPI:1043667181
Name:ABELLAS, LOURDES M (DTHC , URHM)
Entity Type:Individual
Prefix:
First Name:LOURDES
Middle Name:M
Last Name:ABELLAS
Suffix:
Gender:F
Credentials:DTHC , URHM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 JUAN C DE BARBON
Mailing Address - Street 2:APT 621
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:787-637-5099
Mailing Address - Fax:
Practice Address - Street 1:44 JUAN C DE BARBON
Practice Address - Street 2:APT 621
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00966
Practice Address - Country:US
Practice Address - Phone:787-637-5099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-18
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL578101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor