Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 20441 | PR |
NPI | 1003245747 |
---|---|
Provider Name | Natalia Calderon |
First Address | San Juan, PR 00926 |
Second Address | San Juan, PR 00926-0000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2013 |
Last Update Date | 04/11/2013 |