Active NPIIndividual providerSole proprietor

Grace M Medina, MSW

Social Worker, Clinical in Cidra, Puerto Rico

NPI Number1114585098
Practice location
Ave El Jibaro Carr 172 Km 13.5, Cidra, PR 00739
Fax
—
Last updated
March 9, 2020

Grace M Medina is a Social Worker, Clinical based in Cidra, PR. Grace M Medina practices in Cidra, PR and has the professional credentials of MSW. The NPI Number for Grace M Medina is 1114585098 and holds a License No. 14864 (PR). The current practice location address for Grace M Medina is Ave El Jibaro Carr 172 Km 13.5, Cidra, PR 00739 and can be reached out via phone at 787-739-8182.

Provider Profile Details

NPI Number
1114585098
Provider Name
Grace M Medina
Credential
MSW
Provider Entity Type
Individual
Gender
Female
Address
Ave El Jibaro Carr 172 Km 13.5, Cidra, PR 00739
Phone Number
787-739-8182
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
June 5, 2019
Last Update Date
March 9, 2020
Certification Date
March 9, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
Ave El Jibaro Carr 172 Km 13.5
Cidra, PR 00739
City
Cidra
Zip
00739
Phone Number
787-739-8182
Cidra, PR 00739Get directions →

Provider Business Mailing Address Details

Address
Po Box 1330
Cidra, PR 00739-1330
City
Cidra
State
PR
Zip
00739-1330
Phone Number
787-739-8182

License Information

License Number
14864
License State
PR
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

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

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Frequently Asked Questions

What is the NPI number of Grace M Medina, MSW?

The NPI number of Grace M Medina, MSW is 1114585098. It was assigned on June 5, 2019 and is currently active in the NPPES registry.

What is the specialty of Grace M Medina, MSW?

Grace M Medina, MSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in PR under license number 14864.

Where does Grace M Medina, MSW practice?

The practice location is Ave El Jibaro Carr 172 Km 13.5, Cidra, PR 00739. The office can be reached at 787-739-8182 (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 1114585098 directly on the NPPES registry website.

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