Provider Demographics
NPI:1740504786
Name:CASTILLO PLAYA, JANIRA (SOCIAL WORK)
Entity type:Individual
Prefix:
First Name:JANIRA
Middle Name:
Last Name:CASTILLO PLAYA
Suffix:
Gender:F
Credentials:SOCIAL WORK
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 3 BOX 11286
Mailing Address - Street 2:
Mailing Address - City:JUANA DIAZ
Mailing Address - State:PR
Mailing Address - Zip Code:00795-9553
Mailing Address - Country:US
Mailing Address - Phone:939-222-2090
Mailing Address - Fax:
Practice Address - Street 1:HC 3 BOX 11286
Practice Address - Street 2:
Practice Address - City:JUANA DIAZ
Practice Address - State:PR
Practice Address - Zip Code:00795-9553
Practice Address - Country:US
Practice Address - Phone:787-546-4699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-19
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR95081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR9508OtherSOCIAL WORK