Most Relevant Information
Provider Data
| NPI Number: | 1003681099 |
| Provider Name: | SONIA MALLOL |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 14896 |
Most Important Dates
| Enumeration Date: | 11/20/2023 |
| Last Updated: | 11/20/2023 |
Provider Practice Location
PROFESIONAL OFFICES PARK EDIFICIO V (POP-V) PFIZER TOW
SUITE 301 996 CALLE SAN ROBERTO SAN JUAN, PR
SAN JUAN
PR
00926
Practice Location Phone/Fax
| Phone: | 7876410774 |
| Fax: |
Provider Mailing Location
PO BOX 654
CATANO
PR
00963
Provider Mailing Phone/Fax
| Phone: | 7876283662 |
| Fax: |