Doctor Name: | MRS. LOURDES IVETTE AQUINO |
NPI Number: | 1043437916 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | 5767 |
Business Practice Address: | 183 Ave Univ Inter Suite 204 San German, PR - 006834455 |
Business Phone Number: | 7876329051 |
Business Fax Number: | |
Mailing Address: | Po Box 1055, MAYAGUEZ |
State: | PR |
Postal Code: | 006811055 |
Phone Number: | 7876329051 |
Fax Number: | |
NPI Enumeration Date: | 04/20/2007 |
NPI Last Update Date: | 06/21/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 5767 |
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 |