1528867702 NPI number — ELIANETTE MARIE MARTINEZ CLAUSELL MSW

Table of content: ELIANETTE MARIE MARTINEZ CLAUSELL MSW (NPI 1528867702)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528867702 NPI number — ELIANETTE MARIE MARTINEZ CLAUSELL MSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MARTINEZ CLAUSELL
Provider First Name:
ELIANETTE
Provider Middle Name:
MARIE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MARTINEZ CLAUSELL
Provider Other First Name:
ELIANETTE
Provider Other Middle Name:
MARIE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MSW
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1528867702
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/20/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
I 3 CALLE 7 URB. JARDINES DEL MAMEY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PATILLAS
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00723
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-380-3985
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
I 3 CALLE 7 URB. JARDINES DEL MAMEY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PATILLAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00723
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-380-3985
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/11/2025

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 104100000X , with the licence number:  15366 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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