Doctor Name: | ELIZABETH MIRANDA RIOS |
NPI Number: | 1083979991 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | Carr.#4453 Barrio Piletas Apartado 1276 Lares Lares, PR - 00669 |
Business Phone Number: | 7879624875 |
Business Fax Number: | |
Mailing Address: | Po Box 1276, LARES |
State: | PR |
Postal Code: | 006691276 |
Phone Number: | 7879624875 |
Fax Number: | |
NPI Enumeration Date: | 07/06/2012 |
NPI Last Update Date: | 05/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
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 |