Provider Demographics
NPI:1497065270
Name:TOLENTINO, JANETTE MARIE (MSW)
Entity Type:Individual
Prefix:MRS
First Name:JANETTE
Middle Name:MARIE
Last Name:TOLENTINO
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 1:251 CALLE PILON URBANIZACION BORINQUEN VALLEY
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725
Mailing Address - Country:US
Mailing Address - Phone:787-422-9913
Mailing Address - Fax:
Practice Address - Street 1:251 CALLE PILON
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-9825
Practice Address - Country:US
Practice Address - Phone:787-422-9913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-14
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR112111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical