Provider Demographics
NPI:1134969074
Name:MASSAS NEGRON, GARMARIE (MSW)
Entity type:Individual
Prefix:
First Name:GARMARIE
Middle Name:
Last Name:MASSAS NEGRON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MRS
Other - First Name:GARMARIE
Other - Middle Name:
Other - Last Name:MASSAS NEGRON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:URB LA CEIBA
Mailing Address - Street 2:154 LOS NARDOS
Mailing Address - City:JUNCOS
Mailing Address - State:PR
Mailing Address - Zip Code:00777
Mailing Address - Country:US
Mailing Address - Phone:787-307-6395
Mailing Address - Fax:
Practice Address - Street 1:URB LA CEIBA
Practice Address - Street 2:154 LOS NARDOS
Practice Address - City:JUNCOS
Practice Address - State:PR
Practice Address - Zip Code:00777
Practice Address - Country:US
Practice Address - Phone:787-307-6395
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-29
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR139731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical