Ilka S Montijo-Natal

Individual provider Active NPI Clinical Social Worker · Jayuya, PR

NPI 1144933136 · NPPES record last updated Jan 4, 2023

Key facts

NPI
1144933136
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
14998 (PR)
Practice address
53 Calle Apollo
Jayuya, PR 00664-1510
Phone
(787) 649-7368
NPI assigned
Jan 4, 2023
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
14998PRMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 14998 PR Yes

Addresses

Primary practice location

53 Calle Apollo
Jayuya, PR 00664-1510

Mailing address

53 Calle Apollo
Jayuya, PR 00664-1510
Phone (787) 649-7368

Other providers in Jayuya, PR

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

Sources for this page

Verify at the official NPI Registry.