Provider Demographics
NPI:1861761371
Name:GORBEA, GLADYBEL MARIE (PHD)
Entity type:Individual
Prefix:DR
First Name:GLADYBEL
Middle Name:MARIE
Last Name:GORBEA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3006 AVENIDA SAN CRISTOBAL
Mailing Address - Street 2:COTO LAUREL,PR 00780-2896
Mailing Address - City:COTO LAUREL
Mailing Address - State:PR
Mailing Address - Zip Code:00780
Mailing Address - Country:UM
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3006 AVE SAN CRISTOBAL
Practice Address - Street 2:COTO LAUREL,PR 00780-2896
Practice Address - City:COTO LAUREL
Practice Address - State:PR
Practice Address - Zip Code:00780-2896
Practice Address - Country:US
Practice Address - Phone:787-949-1572
Practice Address - Fax:787-843-9642
Is Sole Proprietor?:No
Enumeration Date:2011-12-29
Last Update Date:2011-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4126102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst