Provider Demographics
NPI:1508335803
Name:DOS SANTOS BARBOSA, FLAVIA (CSW, MSW)
Entity Type:Individual
Prefix:
First Name:FLAVIA
Middle Name:
Last Name:DOS SANTOS BARBOSA
Suffix:
Gender:F
Credentials:CSW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB BORINQUEN VALLEY 2
Mailing Address - Street 2:463 CALLE CAPUCHINO
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-9583
Mailing Address - Country:US
Mailing Address - Phone:787-362-0180
Mailing Address - Fax:
Practice Address - Street 1:URB BORINQUEN VALLEY 2
Practice Address - Street 2:463 CALLE CAPUCHINO
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-9583
Practice Address - Country:US
Practice Address - Phone:787-362-0180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-15
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11060104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker