Provider Demographics
NPI:1316063290
Name:GARCIA-DELGADO, GRISELLY (PHD)
Entity type:Individual
Prefix:DR
First Name:GRISELLY
Middle Name:
Last Name:GARCIA-DELGADO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:860 SENDEROS DEL RIO CARR 175
Mailing Address - Street 2:APT 1025
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-632-9728
Mailing Address - Fax:787-296-9221
Practice Address - Street 1:860 SENDEROS DEL RIO CARR 175
Practice Address - Street 2:APT 1025
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-632-9728
Practice Address - Fax:787-296-9221
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1996103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical