Individual
JESENIA FONSECA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
HC 63 BOX 3939, PATILLAS, PR 00723-9648
(939) 280-8833
Mailing address
STREET CORNER 46, ARROYO, PR 00714
(787) 839-4150
(787) 839-3989
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
11002
PR
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11002
LICENCE
PR
Enumeration date
05/18/2020
Last updated
03/23/2022
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