Doctor Name: | MRS. IRIS DAISY OQUENDO |
NPI Number: | 1184056681 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.W |
License Number: | 3192 |
Business Practice Address: | Calle Ruisenor 2128 Monte Verde Dorado, PR - 00646 |
Business Phone Number: | 7873689378 |
Business Fax Number: | |
Mailing Address: | 2128 Calle Ruisenor, Monte Verde DORADO |
State: | PR |
Postal Code: | 006469423 |
Phone Number: | 7873689378 |
Fax Number: | |
NPI Enumeration Date: | 08/07/2013 |
NPI Last Update Date: | 08/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 3192 |
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 |