Provider Demographics
NPI:1164151668
Name:SILVA RIVERA, CARELYS (MSW)
Entity Type:Individual
Prefix:MRS
First Name:CARELYS
Middle Name:
Last Name:SILVA RIVERA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319 URB LOS TULIPANES
Mailing Address - Street 2:
Mailing Address - City:MOROVIS
Mailing Address - State:PR
Mailing Address - Zip Code:00687-8915
Mailing Address - Country:US
Mailing Address - Phone:787-615-0128
Mailing Address - Fax:787-862-2731
Practice Address - Street 1:2 CALLE PATRON
Practice Address - Street 2:ESQ AVE COROZAL
Practice Address - City:MOROVIS
Practice Address - State:PR
Practice Address - Zip Code:00687
Practice Address - Country:US
Practice Address - Phone:787-862-3000
Practice Address - Fax:787-862-2731
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-09
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12985104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker