Active NPIIndividual providerSole proprietor

Mirnalise Cordova Gonzalez

Social Worker, Clinical in Bayamon, Puerto Rico

NPI Number1790532075
Practice location
Po Box 607087, Bayamon, PR 00960-7087
Fax
—
Last updated
May 3, 2024

Mirnalise Cordova Gonzalez is a Social Worker, Clinical based in Bayamon, PR. Mirnalise Cordova Gonzalez practices in Bayamon, PR. The NPI Number for Mirnalise Cordova Gonzalez is 1790532075 and holds a License No. 15216 (PR). The current practice location address for Mirnalise Cordova Gonzalez is Po Box 607087, Bayamon, PR 00960-7087 and can be reached out via phone at 787-763-7575.

Provider Profile Details

NPI Number
1790532075
Provider Name
Mirnalise Cordova Gonzalez
Provider Entity Type
Individual
Gender
Female
Address
Po Box 607087, Bayamon, PR 00960-7087
Phone Number
787-763-7575
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
May 3, 2024
Last Update Date
May 3, 2024
Certification Date
April 25, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
Po Box 607087
Bayamon, PR 00960-7087
Zip
00960-7087
Phone Number
787-763-7575
Bayamon, PR 00960Get directions →

Provider Business Mailing Address Details

Address
77 Calle Rubicom Estancias De Imbery
Barceloneta, PR 00617
City
Barceloneta
State
PR
Zip
00617
Phone Number
787-552-1578

License Information

License Number
15216
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 Mirnalise Cordova Gonzalez?

The NPI number of Mirnalise Cordova Gonzalez is 1790532075. It was assigned on May 3, 2024 and is currently active in the NPPES registry.

What is the specialty of Mirnalise Cordova Gonzalez?

Mirnalise Cordova Gonzalez is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in PR under license number 15216.

Where does Mirnalise Cordova Gonzalez practice?

The practice location is Po Box 607087, Bayamon, PR 00960-7087. The office can be reached at 787-763-7575 (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 1790532075 directly on the NPPES registry website.

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