Healthcare Provider Details

I. General information

NPI: 1831029859
Provider Name (Legal Business Name): GRACIELA VALENTIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 312 KM 1.7 SECTOR LLANOS TUNA
CABO ROJO PR
00623-0000
US

IV. Provider business mailing address

HC 4 BOX 46026
MAYAGUEZ PR
00680-9721
US

V. Phone/Fax

Practice location:
  • Phone: 939-865-0016
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number8344
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: