Provider Demographics
NPI:1639892169
Name:ARROYO-BURGOS, VANESSA IMEE (MCSW)
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:IMEE
Last Name:ARROYO-BURGOS
Suffix:
Gender:F
Credentials:MCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. JARDINES 2
Mailing Address - Street 2:CALLE ORQUIDEA C-13
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00736
Mailing Address - Country:US
Mailing Address - Phone:787-263-7295
Mailing Address - Fax:
Practice Address - Street 1:URB. JARDINES 2
Practice Address - Street 2:CALLE ORQUIDEA C-13
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736
Practice Address - Country:US
Practice Address - Phone:787-263-7295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-20
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR92741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty