Individual
MS. CARMEN ROXANA DE JESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
BARBOSA 2021, VILLA PALMERAS, SAN JUAN, PR 00912-4243
(787) 636-0235
(787) 768-0565
Mailing address
BARBOSA 2021, VILLA PALMERAS, SAN JUAN, PR 00912-4243
(787) 636-0235
(787) 768-0565
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5372
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5372
STATE LICENCES
PR
Enumeration date
09/05/2013
Last updated
09/05/2013
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