Provider Demographics
NPI:1750999520
Name:TRABAJO SOCIAL CAPELES
Entity type:Organization
Organization Name:TRABAJO SOCIAL CAPELES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MISS
Authorized Official - First Name:ANA
Authorized Official - Middle Name:VALERIA
Authorized Official - Last Name:CAPELES-RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:787-547-2329
Mailing Address - Street 1:1519 AVE PNCE DE LEON STE 303
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-2713
Mailing Address - Country:US
Mailing Address - Phone:787-547-2329
Mailing Address - Fax:
Practice Address - Street 1:1519 AVE PNCE DE LEON STE 303
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-2713
Practice Address - Country:US
Practice Address - Phone:787-547-2329
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-17
Last Update Date:2020-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health