Provider Demographics
NPI:1639057755
Name:CLAVERIA, JONATHAN ROBERT
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:ROBERT
Last Name:CLAVERIA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:603 MENDON RD
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:RI
Mailing Address - Zip Code:02864-6222
Mailing Address - Country:US
Mailing Address - Phone:401-663-8964
Mailing Address - Fax:401-663-8964
Practice Address - Street 1:26 SPRING ST
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-8402
Practice Address - Country:US
Practice Address - Phone:774-297-3474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management