Provider Demographics
NPI:1235837105
Name:FLECHA, YAZMAR LOREL (MSW)
Entity Type:Individual
Prefix:MRS
First Name:YAZMAR
Middle Name:LOREL
Last Name:FLECHA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:EXT VILLAS DE BUENAVENTURA
Mailing Address - Street 2:CALLE AMBAR 591
Mailing Address - City:YABUCOA
Mailing Address - State:PR
Mailing Address - Zip Code:00767
Mailing Address - Country:US
Mailing Address - Phone:787-955-3263
Mailing Address - Fax:
Practice Address - Street 1:EXT VILLAS DE BUENAVENTURA
Practice Address - Street 2:CALLE AMBAR FF6
Practice Address - City:YABUCOA
Practice Address - State:PR
Practice Address - Zip Code:00767
Practice Address - Country:US
Practice Address - Phone:787-955-3263
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-21
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR163791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical