Individual
MIREYA LISSETTE TAVAREZ SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
PR 863 KM 1, BO. CANDELARIA SECTOR PAJAROS, TOA BAJA, PR 00949
(787) 862-3000
(787) 862-2731
Mailing address
PASEOS REALES 745 AVE. EMPERADOR, ARECIBO, PR 00612
(787) 370-1883
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6131
PR
Other
Enumeration date
08/31/2017
Last updated
08/31/2017
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