Provider Demographics
NPI:1760997688
Name:FRANCESCHI, MELIAN ILISA (MSW)
Entity Type:Individual
Prefix:MRS
First Name:MELIAN
Middle Name:ILISA
Last Name:FRANCESCHI
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 1:105 CAMINO DE LAS AMAPOLAS
Mailing Address - Street 2:URBANIZACION SABANERA DEL RIO
Mailing Address - City:GURABO
Mailing Address - State:PR
Mailing Address - Zip Code:00778
Mailing Address - Country:US
Mailing Address - Phone:787-941-4970
Mailing Address - Fax:
Practice Address - Street 1:996 CALLE SAN ROBERTO STE 301
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-2736
Practice Address - Country:US
Practice Address - Phone:787-641-9133
Practice Address - Fax:787-856-5055
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-14
Last Update Date:2017-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR139641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical