Provider Demographics
NPI:1033410600
Name:CHINEA, JUAN E II (MSW)
Entity Type:Individual
Prefix:MR
First Name:JUAN
Middle Name:E
Last Name:CHINEA
Suffix:II
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MINERVA SB15
Mailing Address - Street 2:URB. LEVITTVILLE
Mailing Address - City:LEVITTOWN
Mailing Address - State:PR
Mailing Address - Zip Code:00949-0000
Mailing Address - Country:US
Mailing Address - Phone:178-784-6666
Mailing Address - Fax:
Practice Address - Street 1:MINERVA SB15
Practice Address - Street 2:URB. LEVITTVILLE
Practice Address - City:LEVITTOWN
Practice Address - State:PR
Practice Address - Zip Code:00949-0000
Practice Address - Country:US
Practice Address - Phone:178-784-6666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-12
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR98401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical