Provider Demographics
NPI:1225342645
Name:FLECHA, WILLIAM A (PHD, MPH)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:A
Last Name:FLECHA
Suffix:
Gender:M
Credentials:PHD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3151
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-3151
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:110 CALLE BORINQUEN
Practice Address - Street 2:SUITE 2-1
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976-5981
Practice Address - Country:US
Practice Address - Phone:123-123-1234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-27
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4593103TC0700X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
4869OtherTRIPLE S ADVANTAGE
PR4869OtherAPS
PR1225342645OtherMMM-PMC
PR1225342645OtherOPTIMIND
PR1225342645OtherTRIPLE-S FEDERAL
PR1225342645OtherTRICARE
PR1225342645OtherMCS
PR1225342645OtherFHC
PR1225342645OtherMAPFRE
4869OtherHUMANA
PR1225342645OtherFIRST MEDICAL INTERNATIONAL
PR1225342645OtherOPTIMINE
PR1225342645OtherPAN AMERICAN LIFE
4869OtherAMERICAN HEALTH MEDICARE
PR1225342645OtherTRIPLE-S FEDERAL