MEDICARE: MRS. NANCY SANTANA CARIRE MSW

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	6636	PR

General Provider Information

NPI Number	:	1619964145
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NANCY SANTANA CARIRE MSW

Provider Business Mailing Address
First Line	:	539 AVE JARDINES
Second Line	:	URB JARDINES DE VEGA BAJA
City	:	VEGA BAJA
State	:	PR
Zip	:	00693-3905
Country	:	US
Telephone Number	:	787-475-5326
Fax Number	:

Provider Business Practice Location Address
First Line	:	URB VILLA LOS SANTOS
Second Line	:	CALLE 9 M-1
City	:	ARECIBO
State	:	PR
Zip	:	00612-0000
Country	:	US
Telephone Number	:	787-816-0000
Fax Number	:	787-816-0000

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

Provider Enumeration Date	:	09/30/2005
Last Update Date	:	05/12/2008

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