Carmen Jacqueline Aquino, MSW

Individual provider Active NPI Clinical Social Worker · San Juan, PR

NPI 1013352053 · NPPES record last updated May 3, 2013

Key facts

NPI
1013352053
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
9739 (PR)
Practice address
Urb. Villa Prade, 846 Angel Mislan St.
San Juan, PR 00924
Phone
(787) 479-0832
NPI assigned
May 3, 2013
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
9739PRMDGeneral Practice Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 9739 PR Yes

Addresses

Primary practice location

Urb. Villa Prade, 846 Angel Mislan St.
San Juan, PR 00924

Mailing address

PO Box 13911
San Juan, PR 00908-3911
Phone (787) 479-0832

Other providers in San Juan, PR

All providers in San Juan, PR · Clinical Social Worker in Puerto Rico

Sources for this page

Verify at the official NPI Registry.