Provider Demographics
NPI:1700448719
Name:BOJITO, CYNTHIA (LICENCIADA)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:BOJITO
Suffix:
Gender:F
Credentials:LICENCIADA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CONDOMINIO MONTE BRISAS
Mailing Address - Street 2:180 CALLE JOSE F DIAZ APTO 5101
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-240-3932
Mailing Address - Fax:
Practice Address - Street 1:623 AVE PONCE DE LEON
Practice Address - Street 2:BANCO COOPERATIVO SUITE 1106
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917
Practice Address - Country:US
Practice Address - Phone:787-240-3932
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-01
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR102171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical