Healthcare Provider Details

I. General information

NPI: 1699612788
Provider Name (Legal Business Name): SOCIAL SUPPORT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BARRIADA MONSERRATE #14
SANTA ISABEL PR
00757
US

IV. Provider business mailing address

BARRIADA MONSERRATE #14
SANTA ISABEL PR
00757
US

V. Phone/Fax

Practice location:
  • Phone: 787-533-4510
  • Fax:
Mailing address:
  • Phone: 787-533-4510
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MISS DAYANE MARIE PADILLA ANDUJAR
Title or Position: PRESIDENTA
Credential: LCSW
Phone: 787-533-4510