Provider Demographics
NPI:1689816522
Name:LAGUNA, MARGARITA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MARGARITA
Middle Name:
Last Name:LAGUNA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MONTECASINO HEIGHTS 125
Mailing Address - Street 2:CALLE RIO LAJAS
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953-3750
Mailing Address - Country:US
Mailing Address - Phone:787-779-2294
Mailing Address - Fax:787-779-2294
Practice Address - Street 1:MONTECASINO HEIGHTS 125
Practice Address - Street 2:CALLE RIO LAJAS
Practice Address - City:TOA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00953-3750
Practice Address - Country:US
Practice Address - Phone:787-779-2294
Practice Address - Fax:787-779-2294
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-24
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3246103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical