Provider Demographics
NPI:1649018698
Name:ALVAREZ SANTANA, JESSICA (MSW)
Entity type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:
Last Name:ALVAREZ SANTANA
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 1:1 COND. LAGOS DEL NORTE APT.710
Mailing Address - Street 2:
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949-1601
Mailing Address - Country:US
Mailing Address - Phone:787-525-7435
Mailing Address - Fax:
Practice Address - Street 1:1 COND. LAGOS DEL NORTE APT.710
Practice Address - Street 2:
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949-1601
Practice Address - Country:US
Practice Address - Phone:787-525-7435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR26384104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker