Provider Demographics
NPI:1467720805
Name:ESCALERA, ANDREA ESCALERA (SOCIAL WORKER)
Entity Type:Individual
Prefix:MISS
First Name:ANDREA
Middle Name:ESCALERA
Last Name:ESCALERA
Suffix:
Gender:F
Credentials:SOCIAL WORKER
Other - Prefix:MISS
Other - First Name:ANDREA
Other - Middle Name:ESCALERA
Other - Last Name:DE CASTRO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:SOCIAL WORKER
Mailing Address - Street 1:GUIPUZCOA 311
Mailing Address - Street 2:URB. VALENCIA
Mailing Address - City:SAN JUAN
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00923
Mailing Address - Country:UM
Mailing Address - Phone:787-328-6564
Mailing Address - Fax:787-328-6564
Practice Address - Street 1:CALLE GUIPUZCOA 311
Practice Address - Street 2:URB. VALENCIA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00923-1913
Practice Address - Country:US
Practice Address - Phone:787-328-6564
Practice Address - Fax:787-328-6564
Is Sole Proprietor?:No
Enumeration Date:2011-12-13
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6589104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker