Provider Demographics
NPI:1457630394
Name:HINOJOSA, SAN JUANITA G (LMSW-IPR)
Entity Type:Individual
Prefix:MRS
First Name:SAN JUANITA
Middle Name:G
Last Name:HINOJOSA
Suffix:
Gender:F
Credentials:LMSW-IPR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1118 LOYOLA DR
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78541-5189
Mailing Address - Country:US
Mailing Address - Phone:956-821-2711
Mailing Address - Fax:956-287-4880
Practice Address - Street 1:1118 LOYOLA DR
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78541-5189
Practice Address - Country:US
Practice Address - Phone:956-821-2711
Practice Address - Fax:956-287-4880
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-10
Last Update Date:2011-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32006171M00000X, 251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No251B00000XAgenciesCase Management