Provider Demographics
NPI:1124483565
Name:LAHONGRAIS FRAU, JAIME LUIS (PSYD)
Entity type:Individual
Prefix:DR
First Name:JAIME
Middle Name:LUIS
Last Name:LAHONGRAIS FRAU
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2351 BLVD LUIS A FERRE
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717-0776
Mailing Address - Country:US
Mailing Address - Phone:787-290-1111
Mailing Address - Fax:
Practice Address - Street 1:2351 BLVD LUIS A FERRE
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-0776
Practice Address - Country:US
Practice Address - Phone:787-290-1111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-30
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJTP# 153-128103TC0700X
NJ35SI00597100103TC0700X
PR6599103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical