Provider Demographics
NPI:1144928623
Name:MOJICA, HAMIR MANUEL SR (MAESTRIA CONSEJERIA)
Entity type:Individual
Prefix:MR
First Name:HAMIR
Middle Name:MANUEL
Last Name:MOJICA
Suffix:SR
Gender:M
Credentials:MAESTRIA CONSEJERIA
Other - Prefix:MR
Other - First Name:HAMIR
Other - Middle Name:M
Other - Last Name:MOJICA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:URB. RIVER VIEW CALLE 20 Y-15
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00961
Mailing Address - Country:UM
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:URB. RIVER VIEW CALLE 20 # Y-15
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961
Practice Address - Country:US
Practice Address - Phone:787-438-5525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-23
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4730295OtherCONSEJERIA