Arianna Noemi Guadalupe, MAESTRIA

Individual provider Active NPI Clinical Social Worker · Fajardo, RI

NPI 1851167928 · NPPES record last updated Nov 30, 2023

Key facts

NPI
1851167928
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
14300 (PR)
Practice address
Condominio Paseo Esmeralda
112 Calle 21 Apt 12102
Fajardo, RI 00738
Phone
(787) 486-3200
NPI assigned
Nov 30, 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
14300PRMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 14300 PR Yes

Addresses

Primary practice location

Condominio Paseo Esmeralda
112 Calle 21 Apt 12102
Fajardo, RI 00738

Mailing address

Condominio Paseo Esmeralda
112 Calle 21 Apt 12102
Fajardo, PR 00738
Phone (787) 486-3200

Other names

  • Mrs. Arianna Guadalupe Cruz Professional name

Sources for this page

Verify at the official NPI Registry.