Provider Demographics
NPI:1962680835
Name:MOJICA, LYMARIS (MSW)
Entity Type:Individual
Prefix:MRS
First Name:LYMARIS
Middle Name:
Last Name:MOJICA
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:CALLE 1
Mailing Address - Street 2:D-1 URB. MONTE VERDE
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953-1837
Mailing Address - Country:US
Mailing Address - Phone:787-462-0599
Mailing Address - Fax:
Practice Address - Street 1:CALLE 1
Practice Address - Street 2:D-1 URB. MONTE VERDE
Practice Address - City:TOA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00953-1837
Practice Address - Country:US
Practice Address - Phone:787-462-0599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-04
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR58201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical