Individual
JOSEAN ANASTACIO NIETO RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
69 CALLE UNION, LAJAS, PR 00667
(787) 519-3635
Mailing address
69 CALLE UNION, LAJAS, PR 00667
(787) 519-3635
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10947
PR
Other
Enumeration date
07/05/2017
Last updated
04/13/2025
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