| Doctor Name: | JORGE CARBAJOSA |
| NPI Number: | 1013093632 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S.W. |
| License Number: | 6357 |
| Business Practice Address: | 136 Calle Juniper Japones Urb Los Pinos Arecibo, PR - 006125914 |
| Business Phone Number: | 7879147534 |
| Business Fax Number: | |
| Mailing Address: | 136 Calle Juniper Japones, Urb Los Pinos ARECIBO |
| State: | PR |
| Postal Code: | 006125914 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/27/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6357 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |