Provider Demographics
NPI:1063742179
Name:PLAZA MONTERO, ANA V (PHD)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:V
Last Name:PLAZA MONTERO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11175 CALLE MIOSOTI
Mailing Address - Street 2:URB CONCORDIA
Mailing Address - City:SANTA ISABEL
Mailing Address - State:PR
Mailing Address - Zip Code:00757-3120
Mailing Address - Country:US
Mailing Address - Phone:939-579-9399
Mailing Address - Fax:787-844-3077
Practice Address - Street 1:2604 AVE LAS AMERICAS
Practice Address - Street 2:URB CONSTANCIA
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-2107
Practice Address - Country:US
Practice Address - Phone:787-844-3077
Practice Address - Fax:787-844-3077
Is Sole Proprietor?:No
Enumeration Date:2010-01-12
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR3443103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical