Provider Demographics
NPI:1700651783
Name:DONES BIRRIEL, VIVIANETTE (MSW)
Entity Type:Individual
Prefix:
First Name:VIVIANETTE
Middle Name:
Last Name:DONES BIRRIEL
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:PO BOX 959
Mailing Address - Street 2:
Mailing Address - City:LUQUILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00773-0959
Mailing Address - Country:US
Mailing Address - Phone:787-710-6159
Mailing Address - Fax:
Practice Address - Street 1:PROFESSIONAL OFFICES PARK EDIFICIO V
Practice Address - Street 2:PFIZER TOWER, SUITE 301 996 CALLE SAN ROBERTO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-641-0773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-20
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11269104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty