Provider Demographics
NPI:1639302268
Name:ANDINO SIERRA, CLARIMARY (MSW)
Entity type:Individual
Prefix:MISS
First Name:CLARIMARY
Middle Name:
Last Name:ANDINO SIERRA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MISS
Other - First Name:CLARIMARY
Other - Middle Name:
Other - Last Name:ANDINO SIERRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:RR #36 BOX 11630
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:CUPE ALTO CAMINO LA IGLESIA
Practice Address - Street 2:CARRETERA 844 CASA 11630
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-664-0615
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-31
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR91611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical