Provider Demographics
NPI:1245473891
Name:CAMARENO, NILSA (MSW)
Entity type:Individual
Prefix:
First Name:NILSA
Middle Name:
Last Name:CAMARENO
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:HC 4 BOX 5272
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00971-9512
Mailing Address - Country:US
Mailing Address - Phone:787-473-4837
Mailing Address - Fax:
Practice Address - Street 1:HC 4 BOX 5272
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00971-9512
Practice Address - Country:US
Practice Address - Phone:787-473-4837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-13
Last Update Date:2009-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6763104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker