Provider Demographics
NPI:1457014540
Name:ALVARADO PAGAN, MARANGELIE (MSW)
Entity Type:Individual
Prefix:
First Name:MARANGELIE
Middle Name:
Last Name:ALVARADO PAGAN
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:PO BOX 1861
Mailing Address - Street 2:
Mailing Address - City:OROCOVIS
Mailing Address - State:PR
Mailing Address - Zip Code:00720-1861
Mailing Address - Country:US
Mailing Address - Phone:787-208-9295
Mailing Address - Fax:
Practice Address - Street 1:200 CALLE LUIS M ALFARO STE 1
Practice Address - Street 2:
Practice Address - City:OROCOVIS
Practice Address - State:PR
Practice Address - Zip Code:00720-4480
Practice Address - Country:US
Practice Address - Phone:787-867-5000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-15
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR156731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical