Krystle Marie Marquez, LCSW, MA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14407 Issued in PR

Practice address

Bo Candelero Abajo
Sector Aniceto Cruz Calle Justina de Leon
Humacao, PR 00791

Phone

(787) 914-6065

NPI assigned

Aug 25, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1851904320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 12 BOX 12875",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007917422",
            "telephone_number": "787-914-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO CANDELERO ABAJO",
            "address_2": "SECTOR ANICETO CRUZ CALLE JUSTINA DE LEON",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-914-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ",
        "first_name": "KRYSTLE",
        "middle_name": "MARIE",
        "credential": "LCSW, MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "14407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen E Marin Pelaez
• Tatiana Marin Roberto, PHARMACY TECH
• Angel Marin
• Marinelis Ruiz
• William Marquez-Mulero, MD
• Jessica Marrero Morales
• Jose Ramon Marrero Russe, MD
• Cristine Marie Marrero, R.PH
• Jessenia Marrero, M.D.
• Juan M Marrero, M.D.

• Clinical Social Worker in Humacao, PR
• Providers in Humacao, PR by specialty
• Clinical Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.