Provider Demographics
NPI:1437410792
Name:RESTO ORTIZ, CATHERINE M (MSW)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:M
Last Name:RESTO ORTIZ
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 1:24 CALLE ALBOSQUE
Mailing Address - Street 2:URB BELLA VISTA ESTATES
Mailing Address - City:COAMO
Mailing Address - State:PR
Mailing Address - Zip Code:00769
Mailing Address - Country:US
Mailing Address - Phone:787-473-5045
Mailing Address - Fax:
Practice Address - Street 1:35 CALLE ORFEO
Practice Address - Street 2:APOLO
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-5036
Practice Address - Country:US
Practice Address - Phone:787-473-5045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-04
Last Update Date:2012-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR180931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical