Provider Demographics
NPI:1447516893
Name:FRANCISCO, EMMA KATIRIA (MA)
Entity type:Individual
Prefix:MRS
First Name:EMMA
Middle Name:KATIRIA
Last Name:FRANCISCO
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:URB.OREILLY # 9
Mailing Address - Street 2:1
Mailing Address - City:GURABO
Mailing Address - State:PR
Mailing Address - Zip Code:00778
Mailing Address - Country:US
Mailing Address - Phone:939-325-4211
Mailing Address - Fax:
Practice Address - Street 1:URBANIZACION OREALLY #9 CALLE 1
Practice Address - Street 2:
Practice Address - City:GURABO
Practice Address - State:PR
Practice Address - Zip Code:00778-0778
Practice Address - Country:US
Practice Address - Phone:193-932-5421
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-10
Last Update Date:2012-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR003657103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR003657OtherSSS
PR1881Medicaid