Provider Demographics
NPI:1235989450
Name:GUZMAN MARCELINO, NELSIDA (MSW)
Entity Type:Individual
Prefix:
First Name:NELSIDA
Middle Name:
Last Name:GUZMAN MARCELINO
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:CALLE LUIS MUNOZ RIVERA
Mailing Address - Street 2:CARR 854 KM 3.5
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00951
Mailing Address - Country:US
Mailing Address - Phone:787-794-0020
Mailing Address - Fax:
Practice Address - Street 1:CARR 854 KM 3.5 CALLE LUIS MUNOZ RIVERA
Practice Address - Street 2:
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00951
Practice Address - Country:US
Practice Address - Phone:787-794-0020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR35841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty