Provider Demographics
NPI:1386484343
Name:ABREW, TANIA ZULEYKA (MSW)
Entity type:Individual
Prefix:
First Name:TANIA
Middle Name:ZULEYKA
Last Name:ABREW
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 9226
Mailing Address - Street 2:
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00792-9226
Mailing Address - Country:US
Mailing Address - Phone:787-365-6174
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 9226
Practice Address - Street 2:
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00792-9226
Practice Address - Country:US
Practice Address - Phone:787-365-6174
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-28
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11318104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker