Sully Ane Falcon, PH.D
Individual provider Active NPI Social Worker · Comerio, PR
NPI 1194174607 · NPPES record last updated Jun 6, 2016
Key facts
- NPI
- 1194174607
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 8590 (PR)
- Practice address
- Calle 781 KM 2.1
Parcela #29
Comerio, PR 00782 - Phone
- (787) 614-9677
- NPI assigned
- Jun 6, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 8590 | PR | Yes |
Addresses
Primary practice location
Calle 781 KM 2.1
Parcela #29
Comerio, PR 00782
Mailing address
Calle 781 KM 2.1
Parcela #29
Comerio, PR 00782
Phone (787) 614-9677
Other providers in Comerio, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.