Provider Demographics
NPI:1578184016
Name:ORTIZ ALVELO, PRICILLA (MSW)
Entity Type:Individual
Prefix:MRS
First Name:PRICILLA
Middle Name:
Last Name:ORTIZ ALVELO
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:PO BOX 323
Mailing Address - Street 2:
Mailing Address - City:AIBONITO
Mailing Address - State:PR
Mailing Address - Zip Code:00705-0323
Mailing Address - Country:US
Mailing Address - Phone:787-202-7417
Mailing Address - Fax:
Practice Address - Street 1:CALLE SGTO. GERARDO SANTIAGO ST STATE RD #14 INTERIOR
Practice Address - Street 2:
Practice Address - City:AIBONITO
Practice Address - State:PR
Practice Address - Zip Code:00705-0070
Practice Address - Country:US
Practice Address - Phone:787-714-2462
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-06
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR127581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical