Provider Demographics
NPI:1447600101
Name:MALDONADO, KARIANA (MSW)
Entity Type:Individual
Prefix:
First Name:KARIANA
Middle Name:
Last Name:MALDONADO
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 1:121 CALLE BR 36
Mailing Address - Street 2:JARDINES DE COUNTRY CLUB
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00983
Mailing Address - Country:US
Mailing Address - Phone:787-459-9921
Mailing Address - Fax:
Practice Address - Street 1:121 CALLE BR 36
Practice Address - Street 2:JARDINES DE COUNTRY CLUB
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00983-2157
Practice Address - Country:US
Practice Address - Phone:787-459-9921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-14
Last Update Date:2016-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR220291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical