Individual
EMMANUELLE MALDONADO SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
S.W.C
Contact information
Practice address
COUNTRY CLUB CALLE LLAUSETINA NUM 936, SAN JUAN, PR 00924
(787) 387-5419
Mailing address
COUNTRY CLUB CALLE LLAUSETINA NUM 936, SAN JUAN, PR 00924
(178) 738-7541
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12795
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12795
SOCIAL WORK
PR
Enumeration date
12/21/2022
Last updated
12/21/2022
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