Provider Demographics
NPI:1316326275
Name:BERNARDI, LINOSHKA (MRC)
Entity type:Individual
Prefix:
First Name:LINOSHKA
Middle Name:
Last Name:BERNARDI
Suffix:
Gender:F
Credentials:MRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 897
Mailing Address - Street 2:
Mailing Address - City:AIBONITO
Mailing Address - State:PR
Mailing Address - Zip Code:00705-0897
Mailing Address - Country:US
Mailing Address - Phone:787-219-4210
Mailing Address - Fax:787-263-4224
Practice Address - Street 1:KM 46 CARRETERA 14
Practice Address - Street 2:BARRIO ASOMANTE
Practice Address - City:AIBONITO
Practice Address - State:PR
Practice Address - Zip Code:00705
Practice Address - Country:US
Practice Address - Phone:787-219-4210
Practice Address - Fax:787-263-4224
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-26
Last Update Date:2015-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1550171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator