Provider Demographics
NPI:1144006776
Name:MONTERO, JOANNA JESEICA (LMSW)
Entity type:Individual
Prefix:MRS
First Name:JOANNA
Middle Name:JESEICA
Last Name:MONTERO
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7325
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-7325
Mailing Address - Country:US
Mailing Address - Phone:787-638-8807
Mailing Address - Fax:
Practice Address - Street 1:CARR 2 KM 122.5 CAIMITAL ALTO
Practice Address - Street 2:VILLA GRAJALES
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603
Practice Address - Country:US
Practice Address - Phone:787-638-8807
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-08
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR165571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical