MEDICARE: MS. TERESA M. DAVILA RIVERA M.S.W.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	3255	PR

General Provider Information

NPI Number	:	1801014691
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TERESA M. DAVILA RIVERA M.S.W.

Provider Business Mailing Address
First Line	:	405 AVE AMRICO MRNDA APT 310A
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00927-4634
Country	:	US
Telephone Number	:	787-453-9797
Fax Number	:	--

Provider Business Practice Location Address
First Line	:	405 AVE AMERICO MIRANDA APT 310A
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00927-4634
Country	:	US
Telephone Number	:	787-453-9797
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	09/24/2025

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