Provider Demographics
NPI:1245621838
Name:NAVARRO, ERIKA B (SW)
Entity type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:B
Last Name:NAVARRO
Suffix:
Gender:F
Credentials:SW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 CALLE ANDALUCIA
Mailing Address - Street 2:CIUDAD REAL
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00693-3668
Mailing Address - Country:US
Mailing Address - Phone:787-636-7214
Mailing Address - Fax:
Practice Address - Street 1:530 CALLE ANDALUCIA
Practice Address - Street 2:CIUDAD REAL
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693-3668
Practice Address - Country:US
Practice Address - Phone:787-636-7214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-18
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7474104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker