Provider Demographics
NPI:1861201840
Name:BARRETO ROSA, PAULINA MARIE (MSW)
Entity type:Individual
Prefix:
First Name:PAULINA
Middle Name:MARIE
Last Name:BARRETO ROSA
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 1:516 CALLE ANA ROQUE DUPREY
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-3326
Mailing Address - Country:US
Mailing Address - Phone:787-932-2911
Mailing Address - Fax:
Practice Address - Street 1:435 AV. LIC. EUGENIO MARIA DE HOSTOS, SAN JUAN 00918
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-704-0705
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-03
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR169621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical