Provider Demographics
NPI:1215773528
Name:AGRONT PITRE, NATACHA
Entity type:Individual
Prefix:
First Name:NATACHA
Middle Name:
Last Name:AGRONT PITRE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 CALLE M PEREZ FREYTES
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612-4646
Mailing Address - Country:US
Mailing Address - Phone:787-647-6636
Mailing Address - Fax:
Practice Address - Street 1:208 CALLE M PEREZ FREYTES
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612-4646
Practice Address - Country:US
Practice Address - Phone:787-647-6636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-05
Last Update Date:2024-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR007904103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist