Provider Demographics
NPI:1467860619
Name:FABREGAS, YOMAIRA (MA)
Entity Type:Individual
Prefix:
First Name:YOMAIRA
Middle Name:
Last Name:FABREGAS
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:HC 1 BOX 7545
Mailing Address - Street 2:CARR. 346 KM 2.0 BO. JAGUITAS
Mailing Address - City:HORMIGUEROS
Mailing Address - State:PR
Mailing Address - Zip Code:00660
Mailing Address - Country:US
Mailing Address - Phone:787-458-8616
Mailing Address - Fax:
Practice Address - Street 1:HC 01 BOX 7545
Practice Address - Street 2:CARR. 346 KM 2.0 BO. JAGUITAS
Practice Address - City:HORMIGUEROS
Practice Address - State:PR
Practice Address - Zip Code:00660
Practice Address - Country:US
Practice Address - Phone:787-458-8616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-31
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR005442103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool