Provider Demographics
NPI:1841902103
Name:TRABAJADORA SOCIAL NERITZA SERRANO
Entity type:Organization
Organization Name:TRABAJADORA SOCIAL NERITZA SERRANO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NERITZA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SERRANO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:939-280-8676
Mailing Address - Street 1:V4 CALLE 19
Mailing Address - Street 2:
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949-3200
Mailing Address - Country:US
Mailing Address - Phone:939-280-8676
Mailing Address - Fax:
Practice Address - Street 1:SAN JUAN METRO OFFICE PARK, METRO PARQUE 7
Practice Address - Street 2:STREET 1 SUITE 204 GUAYNABO
Practice Address - City:SAN JUAN
Practice Address - State:PA
Practice Address - Zip Code:00968
Practice Address - Country:US
Practice Address - Phone:939-280-8676
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty