Provider Demographics
NPI:1154989028
Name:FEBRES, JOHANNYBEL MARTINEZ (MSW)
Entity type:Individual
Prefix:
First Name:JOHANNYBEL
Middle Name:MARTINEZ
Last Name:FEBRES
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 1:534 CALLE CECILIANA APT 14
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-7531
Mailing Address - Country:US
Mailing Address - Phone:787-929-0442
Mailing Address - Fax:
Practice Address - Street 1:CALLE CECILIANA 534
Practice Address - Street 2:APTO 14
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-929-0442
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-05
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR149691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NOTENGONUMEROOtherNO TENGO NUMERO DE MEDICARE AUN