Provider Demographics
NPI:1275635146
Name:JAMES-BERNAT, RITA (MA)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:
Last Name:JAMES-BERNAT
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 336
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00613-0336
Mailing Address - Country:US
Mailing Address - Phone:787-817-4354
Mailing Address - Fax:787-878-5778
Practice Address - Street 1:113 CALLE ANTONIO R BARCELO
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-816-1256
Practice Address - Fax:787-878-5778
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1391103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR075484OtherCRUZ AZUL
PR092398OtherFHC