Provider Demographics
NPI:1194552349
Name:GINES AGOSTO, AREIDA (MSW)
Entity type:Individual
Prefix:MRS
First Name:AREIDA
Middle Name:
Last Name:GINES AGOSTO
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:PO BOX 2032
Mailing Address - Street 2:
Mailing Address - City:MOROVIS
Mailing Address - State:PR
Mailing Address - Zip Code:00687-4032
Mailing Address - Country:US
Mailing Address - Phone:939-222-0138
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 2032
Practice Address - Street 2:
Practice Address - City:MOROVIS
Practice Address - State:PR
Practice Address - Zip Code:00687-4032
Practice Address - Country:US
Practice Address - Phone:939-222-0138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-19
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR154431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical