Active NPIIndividual providerSole proprietor

Glenda L Bravo Otero, PSYD

Psychologist, Clinical in Aguadilla, Puerto Rico

NPI Number1003150301
Practice location
Urb. San Antonio 345, Calle Aguacate San Antonio Pr, Aguadilla, PR 00690
Fax
—
Last updated
September 22, 2020

Glenda L. Bravo Otero is a Psychologist, Clinical based in Aguadilla, PR. Glenda L. Bravo Otero practices in Aguadilla, PR and has the professional credentials of PSYD. The NPI Number for Glenda L. Bravo Otero is 1003150301 and holds a License No. 10466 (PR). The current practice location address for Glenda L. Bravo Otero is Urb. San Antonio 345, Calle Aguacate San Antonio Pr, Aguadilla, PR 00690 and can be reached out via phone at 787-543-8953.

Provider Profile Details

NPI Number
1003150301
Provider Name
Glenda L. Bravo Otero
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
Urb. San Antonio 345, Calle Aguacate San Antonio Pr, Aguadilla, PR 00690
Phone Number
787-543-8953
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Other Names
-- Glenda Lia Bravo Otero, MSW (Former Name)
Provider Enumeration Date
November 27, 2012
Last Update Date
September 22, 2020
Certification Date
September 19, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
Urb. San Antonio 345
Calle Aguacate San Antonio Pr
Aguadilla, PR 00690
Zip
00690
Phone Number
787-543-8953
Aguadilla, PR 00690Get directions →

Provider Business Mailing Address Details

Address
Urb. San Antonio 345
Calle Aguacate San Antonio Pr
Aguadilla, PR 00690
City
Aguadilla
State
PR
Zip
00690
Phone Number
787-543-8953

License Information

License Number (1)
10466
License State (1)
PR
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
6619
License State (2)
PR
Taxonomy (2)
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Psychologist, Clinical providers near Aguadilla, PR

View all Psychologist, Clinical providers in Aguadilla →

Frequently Asked Questions

What is the NPI number of Glenda L Bravo Otero, PSYD?

The NPI number of Glenda L Bravo Otero, PSYD is 1003150301. It was assigned on November 27, 2012 and is currently active in the NPPES registry.

What is the specialty of Glenda L Bravo Otero, PSYD?

Glenda L Bravo Otero, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in PR under license number 10466.

Where does Glenda L Bravo Otero, PSYD practice?

The practice location is Urb. San Antonio 345, Calle Aguacate San Antonio Pr, Aguadilla, PR 00690. The office can be reached at 787-543-8953 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003150301 directly on the NPPES registry website.

Browse related providers