Marinelly Rios Gutierrez

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Toa Alta, PR

NPI 1982191342 · NPPES record last updated Sep 10, 2019

Key facts

NPI
1982191342
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
4427 (PR)
Practice address
Gabiota Street H 7
Mansiones de Montecasino II
Toa Alta, PR 00953
Phone
(787) 428-6423
NPI assigned
Apr 20, 2018
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

State licenses

LicenseStateTypeSpecialty
4427PRMDAddiction (Substance Use Disorder) Counselor
1600PRMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Counselor 225C00000X 1600 PR
Addiction (Substance Use Disorder) Counselor 101YA0400X 4427 PR Yes

Addresses

Primary practice location

Gabiota Street H 7
Mansiones de Montecasino II
Toa Alta, PR 00953

Mailing address

Gabiota Street H 7
Mansiones de Montecasino II
Toa Alta, PR 00953
Phone (787) 428-6423

Other providers in Toa Alta, PR

All providers in Toa Alta, PR · Addiction (Substance Use Disorder) Counselor in Puerto Rico

Sources for this page

Verify at the official NPI Registry.