Ivette Colon Anguita
Individual provider Active NPI Clinical Social Worker · Vega Alta, PR
NPI 1154770105 · NPPES record last updated Jun 10, 2016
Key facts
- NPI
- 1154770105
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 11462 (PR)
- Practice address
- I-6 Urb Santa Rita
Vega Alta, PR 00692 - Phone
- (787) 617-8063
- NPI assigned
- Jun 10, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11462 | PR | MD | Diagnostic Radiology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11462 | PR | Yes |
| School Social Worker | 1041S0200X | 11462 | PR |
Addresses
Primary practice location
I-6 Urb Santa Rita
Vega Alta, PR 00692
Mailing address
I-6 Urb Santa Rita
Vega Alta, PR 00692
Other providers in Vega Alta, PR
- Clinica Dental Dr. Edwin Rosa, CSP
- Clinica Dental Dra. Carla Fidalgo,CSP
- Clinica Georgetti Inc.
- Clinica Psiquiatrica Y Psicologica Felicita Ramos
- Clinical Laboratory Solution, PSC
- Juan Carlos Colon Rodriguez
- Julia Colon-Cardona
- Ruz Nahomi Colon-Cardona
- Reina D. Colon-Gonzalez
- Gisel M Colon
All providers in Vega Alta, PR · Clinical Social Worker in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.