Provider Demographics
NPI:1639659881
Name:OCASIO, IRIS N (CSW)
Entity type:Individual
Prefix:MRS
First Name:IRIS
Middle Name:N
Last Name:OCASIO
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1164 AVE SANTITOS COLON
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00680-1920
Mailing Address - Country:US
Mailing Address - Phone:787-310-5445
Mailing Address - Fax:
Practice Address - Street 1:1164 AVE SANTITOS COLON
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-1920
Practice Address - Country:US
Practice Address - Phone:787-310-5445
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-17
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR141871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical