Provider Demographics
NPI:1619964145
Name:CARIRE, NANCY SANTANA (MSW)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:SANTANA
Last Name:CARIRE
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 1:539 AVE JARDINES
Mailing Address - Street 2:URB JARDINES DE VEGA BAJA
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00693-3905
Mailing Address - Country:US
Mailing Address - Phone:787-475-5326
Mailing Address - Fax:
Practice Address - Street 1:URB VILLA LOS SANTOS
Practice Address - Street 2:CALLE 9 M-1
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612-0000
Practice Address - Country:US
Practice Address - Phone:787-816-0000
Practice Address - Fax:787-816-0000
Is Sole Proprietor?:No
Enumeration Date:2005-09-30
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR66361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0085025CMedicare ID - Type Unspecified