Provider Demographics
NPI:1821259367
Name:MOYA, MARIA DE LOS ANGELES (MSW)
Entity Type:Individual
Prefix:MISS
First Name:MARIA DE LOS
Middle Name:ANGELES
Last Name:MOYA
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 1:1051 CALLE TULIPAN
Mailing Address - Street 2:
Mailing Address - City:HATILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00659-2425
Mailing Address - Country:US
Mailing Address - Phone:787-399-9924
Mailing Address - Fax:
Practice Address - Street 1:1051 CALLE TULIPAN
Practice Address - Street 2:
Practice Address - City:HATILLO
Practice Address - State:PR
Practice Address - Zip Code:00659-2425
Practice Address - Country:US
Practice Address - Phone:787-399-9924
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-18
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6489104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker