Provider Demographics
NPI:1407127616
Name:ORELLANA, RUTH ESTHER (MTS)
Entity Type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:ESTHER
Last Name:ORELLANA
Suffix:
Gender:F
Credentials:MTS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CENTRO DE ORIENTACION Y AYUDA PSIQUIATRICA INC.
Mailing Address - Street 2:CALLE BALHUINIA LOIZA VALLEY SHOPPING CENTER, LOCAL AA-
Mailing Address - City:CANOVANAS
Mailing Address - State:PR
Mailing Address - Zip Code:00729
Mailing Address - Country:US
Mailing Address - Phone:787-256-0273
Mailing Address - Fax:
Practice Address - Street 1:CENTRO DE ORIENTACION Y AYUDA PSIQUIATRICA INC.
Practice Address - Street 2:LOIZA VALLEY SHOPPING CENTER, LOIZA VALLEY SHLOCAL AA-
Practice Address - City:CANOVANAS
Practice Address - State:PR
Practice Address - Zip Code:00729
Practice Address - Country:US
Practice Address - Phone:787-256-0273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-19
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9681104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker