Provider Demographics
NPI:1518232404
Name:BARBOSA, MILAGROS (MSW)
Entity Type:Individual
Prefix:
First Name:MILAGROS
Middle Name:
Last Name:BARBOSA
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:URB. BELLA VISTA
Mailing Address - Street 2:CALLE GIRASOL F-35
Mailing Address - City:AIBONITO
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00705
Mailing Address - Country:UM
Mailing Address - Phone:787-430-4304
Mailing Address - Fax:
Practice Address - Street 1:PROFFESIONAL OFFICE PARK EDIF. PFIZER TOWERS
Practice Address - Street 2:SUITE 301 #996 SAN ROBERTS ST.
Practice Address - City:SAN JUAN
Practice Address - State:PUERTO RICO
Practice Address - Zip Code:00926
Practice Address - Country:UM
Practice Address - Phone:787-641-0773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-12
Last Update Date:2013-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR112401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical