Individual
NELLIE M MUNTANER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
URB. BARALT I4, AVE PRINCIPAL, FAJARDO, PR 00738-0000
(787) 556-8315
(787) 957-8856
Mailing address
URB BARALT I4, AVE PRINCIPAL, FAJARDO, PR 00738-0000
(787) 556-8315
(787) 957-8856
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14948
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20483
PROFESSIONAL SERVICES
PR
Enumeration date
08/20/2014
Last updated
06/22/2020
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