Provider Demographics
NPI:1346447281
Name:MARTI, MARIA TERESA (MSW)
Entity Type:Individual
Prefix:MISS
First Name:MARIA
Middle Name:TERESA
Last Name:MARTI
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 1:131 CALLE DR RUFO
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-4128
Mailing Address - Country:US
Mailing Address - Phone:787-473-5294
Mailing Address - Fax:
Practice Address - Street 1:STREET #14
Practice Address - Street 2:APARTADO 7321
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00732
Practice Address - Country:US
Practice Address - Phone:787-844-0101
Practice Address - Fax:787-844-7111
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR41371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical