Healthcare Provider Details

I. General information

NPI: 1518620020
Provider Name (Legal Business Name): GABRIELA MENDEZ FLORES MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2021
Last Update Date: 09/03/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URBANIZACION EXTENSION SANTA MARIA CALLE 11 M17
SAN GERMAN PR
00683
US

IV. Provider business mailing address

AVE EL VETERANO 94
SAN GERMAN PR
00683
US

V. Phone/Fax

Practice location:
  • Phone: 939-902-6036
  • Fax:
Mailing address:
  • Phone: 939-902-6036
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number15696
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number23748
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: