Provider Demographics
NPI:1790098598
Name:BERNAL, DENISE A (MSW)
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:A
Last Name:BERNAL
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:566 CALLE COLLINS
Mailing Address - Street 2:SUMMIT HILLS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00920-4320
Mailing Address - Country:US
Mailing Address - Phone:787-922-5707
Mailing Address - Fax:
Practice Address - Street 1:566 CALLE COLLINS
Practice Address - Street 2:SUMMIT HILLS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00920-4320
Practice Address - Country:US
Practice Address - Phone:787-922-5707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-21
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR32241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical