Provider Demographics
NPI:1760804306
Name:VINAS JOY, GRACE M (PSYD)
Entity Type:Individual
Prefix:DR
First Name:GRACE
Middle Name:M
Last Name:VINAS JOY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 AVENIDA DE DIEGO
Mailing Address - Street 2:SAN JUAN HEALTH CENTRE, SUITE 401B
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907
Mailing Address - Country:US
Mailing Address - Phone:787-422-8685
Mailing Address - Fax:
Practice Address - Street 1:150 AVENIDA DE DIEGO
Practice Address - Street 2:SAN JUAN HEALTH CENTRE, SUITE 401B
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907
Practice Address - Country:US
Practice Address - Phone:787-422-8685
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-16
Last Update Date:2018-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5624103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical