Provider Demographics
NPI:1437029030
Name:TRENCHE MOJENA, GABRIELA NICOLE
Entity type:Individual
Prefix:
First Name:GABRIELA
Middle Name:NICOLE
Last Name:TRENCHE MOJENA
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 1:98 CALLE CACIMAR
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987-8706
Mailing Address - Country:US
Mailing Address - Phone:787-276-2316
Mailing Address - Fax:
Practice Address - Street 1:90 CALLE ALONDRA
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924-3256
Practice Address - Country:US
Practice Address - Phone:787-773-1816
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-08
Last Update Date:2025-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5038-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist