Provider Demographics
NPI:1992532667
Name:ORONA, LISAMAR
Entity type:Individual
Prefix:
First Name:LISAMAR
Middle Name:
Last Name:ORONA
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:URB LINDA VISTA
Mailing Address - Street 2:CALLE A CASA 71
Mailing Address - City:CAMUY
Mailing Address - State:PR
Mailing Address - Zip Code:00627-0000
Mailing Address - Country:US
Mailing Address - Phone:787-527-1968
Mailing Address - Fax:
Practice Address - Street 1:URB LINDA VISTA
Practice Address - Street 2:CALLE A CASA 71
Practice Address - City:CAMUY
Practice Address - State:PR
Practice Address - Zip Code:00627-0000
Practice Address - Country:US
Practice Address - Phone:787-527-1968
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-17
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR150301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical