Provider Demographics
NPI:1306449079
Name:LAUREANO-PALMA, RAQUEL M (MA)
Entity type:Individual
Prefix:
First Name:RAQUEL
Middle Name:M
Last Name:LAUREANO-PALMA
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:HC 2 BOX 40958
Mailing Address - Street 2:
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00693-9605
Mailing Address - Country:US
Mailing Address - Phone:787-598-7655
Mailing Address - Fax:
Practice Address - Street 1:CARR 674 KM 2 H 1 RIO ABAJO SECTOR HOYOS
Practice Address - Street 2:
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693-9605
Practice Address - Country:US
Practice Address - Phone:787-598-7655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling