Marietina Ruberte, MSW

Individual provider Active NPI Clinical Social Worker · Ponce, PR

NPI 1124281704 · NPPES record last updated Jul 3, 2008

Key facts

NPI
1124281704
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
6475 (PR)
Practice address
Cond Clausells Calle Villa
Suite # 332
Ponce, PR 00731
Phone
(787) 923-7615
NPI assigned
Jul 3, 2008
Sex
Male
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
6475PRMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6475 PR Yes

Addresses

Primary practice location

Cond Clausells Calle Villa
Suite # 332
Ponce, PR 00731

Mailing address

Cond Paseo de la Reina
Miguel Pou Boulevard Apt 1902
Ponce, PR 00716-0000
Phone (787) 923-7615

Other providers in Ponce, PR

All providers in Ponce, PR · Clinical Social Worker in Puerto Rico

Sources for this page

Verify at the official NPI Registry.