Provider Demographics
NPI:1982868402
Name:OYOLA, LUIS E (MSW)
Entity Type:Individual
Prefix:MR
First Name:LUIS
Middle Name:E
Last Name:OYOLA
Suffix:
Gender:M
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:AB8 CALLE ZAFIRO
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00957-6853
Mailing Address - Country:US
Mailing Address - Phone:787-607-3462
Mailing Address - Fax:
Practice Address - Street 1:AB8 CALLE ZAFIRO
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00957-6853
Practice Address - Country:US
Practice Address - Phone:787-607-3462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-14
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR24821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical