Provider Demographics
NPI:1689450926
Name:ABREU MARTINEZ, HECTOR (LCSW)
Entity Type:Individual
Prefix:
First Name:HECTOR
Middle Name:
Last Name:ABREU MARTINEZ
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 CALLE COSTA RICA APT 302
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00917-2437
Mailing Address - Country:US
Mailing Address - Phone:787-568-0473
Mailing Address - Fax:
Practice Address - Street 1:101 CALLE COSTA RICA APT 302
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917-2437
Practice Address - Country:US
Practice Address - Phone:787-568-0473
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-04
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR142131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical