Reina D. Colon-Gonzalez, MSW

Individual provider Active NPI Clinical Social Worker · Vega Alta, PR

NPI 1194955708 · NPPES record last updated Jul 16, 2009

Key facts

NPI
1194955708
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
3815 (PR)
Practice address
405 Calle Padre Rivera
Urb. la Inmaculada
Vega Alta, PR 00692-5834
Phone
(787) 390-5364
Fax
(787) 915-6830
NPI assigned
Jul 16, 2009
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
3815PRMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3815 PR Yes
School Social Worker 1041S0200X 1646 PR

Addresses

Primary practice location

405 Calle Padre Rivera
Urb. la Inmaculada
Vega Alta, PR 00692-5834

Mailing address

405 Calle Padre Rivera
Urb. la Inmaculada
Vega Alta, PR 00692-5834
Phone (787) 390-5364

Other providers in Vega Alta, PR

All providers in Vega Alta, PR · Clinical Social Worker in Puerto Rico

Sources for this page

Verify at the official NPI Registry.