Provider Demographics
NPI:1992031462
Name:CARATTINI, NITZA CAMACHO (MAC)
Entity Type:Individual
Prefix:MRS
First Name:NITZA
Middle Name:CAMACHO
Last Name:CARATTINI
Suffix:
Gender:F
Credentials:MAC
Other - Prefix:MRS
Other - First Name:NITZA
Other - Middle Name:CAMACHO
Other - Last Name:CARATTINI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MAC
Mailing Address - Street 1:10 CALLE LAUREL
Mailing Address - Street 2:PO BOX 79
Mailing Address - City:AIBONITO
Mailing Address - State:PR
Mailing Address - Zip Code:00705-4128
Mailing Address - Country:US
Mailing Address - Phone:787-612-7534
Mailing Address - Fax:787-735-3958
Practice Address - Street 1:10 CALLE LAUREL
Practice Address - Street 2:APAT. 79
Practice Address - City:AIBONITO
Practice Address - State:PR
Practice Address - Zip Code:00705-4128
Practice Address - Country:US
Practice Address - Phone:787-612-7534
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-19
Last Update Date:2009-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR002168101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor