Provider Demographics
NPI:1417695545
Name:MEYRELES, GRECIA LETICIA
Entity Type:Individual
Prefix:
First Name:GRECIA
Middle Name:LETICIA
Last Name:MEYRELES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:758 CALLE AMALIO ROLDAN
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924-2512
Mailing Address - Country:US
Mailing Address - Phone:305-570-5001
Mailing Address - Fax:
Practice Address - Street 1:758 CALLE AMALIO ROLDAN
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924-2512
Practice Address - Country:US
Practice Address - Phone:305-570-5001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-27
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program