Provider Demographics
NPI:1265395529
Name:SERVICIOS SOCIALES CLINICOS DE PR LLC
Entity type:Organization
Organization Name:SERVICIOS SOCIALES CLINICOS DE PR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:MAIRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:VARGAS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:939-577-2137
Mailing Address - Street 1:HC 5 BOX 7073
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00971-9579
Mailing Address - Country:US
Mailing Address - Phone:939-577-2137
Mailing Address - Fax:939-577-2137
Practice Address - Street 1:BO SANTA ROSA
Practice Address - Street 2:CARR 833
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00971-9579
Practice Address - Country:US
Practice Address - Phone:939-577-2137
Practice Address - Fax:939-577-2137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-04
Last Update Date:2025-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty