Victor A Andino, MSW

Individual provider Active NPI Clinical Social Worker · Carolina, PR

NPI 1871127993 · NPPES record last updated Feb 27, 2020

Key facts

NPI
1871127993
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
14517 (PR)
Practice address
G 30 C/12 Urb. Metropolis
Carolina, PR 00987
Phone
(787) 810-0357
NPI assigned
Feb 27, 2020
Sex
Male
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
14517PRMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 14517 PR Yes

Addresses

Primary practice location

G 30 C/12 Urb. Metropolis
Carolina, PR 00987

Mailing address

G 30 C/12 Urb. Metropolis
Carolina, PR 00987
Phone (787) 810-0357

Other providers in Carolina, PR

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

Sources for this page

Verify at the official NPI Registry.