Healthcare Provider Details

I. General information

NPI: 1558286179
Provider Name (Legal Business Name): GIANNA ESTHER FALLETTI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

B12 COLINAS DE BALLAJA
CABO ROJO PR
00623
US

IV. Provider business mailing address

B12 COLINAS DE BALLAJA
CABO ROJO PR
00623
US

V. Phone/Fax

Practice location:
  • Phone: 787-922-3979
  • Fax: 787-922-3979
Mailing address:
  • Phone: 787-922-3979
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number4819
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: