Marilyn Aviles

Individual provider Active NPI Clinical Social Worker · Hatillo, PR

NPI 1801367396 · NPPES record last updated Dec 10, 2018

Key facts

NPI
1801367396
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
Carr 2 KM 81.5
Bo Carrizales
Hatillo, PR 00659
Phone
(787) 915-3000
NPI assigned
Dec 10, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
MJ Occupational and Wellness Services, LLC Clinical Current Accepting new patients

Specialties & licenses

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

Addresses

Primary practice location

Carr 2 KM 81.5
Bo Carrizales
Hatillo, PR 00659

Mailing address

PO Box 140053
Arecibo, PR 00614-0053

Other identifiers

IdentifierTypeStateIssuer
2630651OtherPRDRIVERS LICENSE

Other providers in Hatillo, PR

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

Sources for this page

Verify at the official NPI Registry.