Provider Demographics
NPI:1538934732
Name:LASALLE ARROYO, NATASHA IVELISSE (MSW)
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:IVELISSE
Last Name:LASALLE ARROYO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COND TORRES DEL ESCORIAL # 1404
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987-5167
Mailing Address - Country:US
Mailing Address - Phone:787-481-3283
Mailing Address - Fax:
Practice Address - Street 1:COND TORRES DEL ESCORIAL # 1404
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00987-5167
Practice Address - Country:US
Practice Address - Phone:787-481-3283
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-17
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14599104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker