Individual
MISS YANIALIZ MATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
C/ 15 BLOQ P# 828 URB. ALTURAS DE RIO GRANDE, RIO GRANDE, PR 00745
(787) 226-4667
Mailing address
C/ 15 BLOQ P# 828 URB. ALTURAS DE RIO GRANDE, RIO GRANDE, PR 00745
(787) 226-4667
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13447
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134471717
—
PR
Enumeration date
02/19/2020
Last updated
02/19/2020
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