Provider Demographics
NPI:1245798610
Name:CASTRO PEREZ, JUAN BAUTISTA (TRABAJADOR SOCIAL)
Entity Type:Individual
Prefix:
First Name:JUAN
Middle Name:BAUTISTA
Last Name:CASTRO PEREZ
Suffix:
Gender:M
Credentials:TRABAJADOR SOCIAL
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Other - Credentials:
Mailing Address - Street 1:3307 CALLE FARAYON
Mailing Address - Street 2:URBANIZACION ALTURAS DE MAYAGUEZ
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00682
Mailing Address - Country:US
Mailing Address - Phone:787-613-6918
Mailing Address - Fax:787-834-1924
Practice Address - Street 1:MIGRANT HEALTH CENTER WESTERN REGION INC
Practice Address - Street 2:CARRETERA 128 KM 4.1 BO ALMACIGO BAJO
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698-0000
Practice Address - Country:US
Practice Address - Phone:787-613-6918
Practice Address - Fax:787-834-1924
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-05
Last Update Date:2019-03-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR129551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical