Provider Demographics
NPI:1861039083
Name:BORGES LEON, GRETCHEN MARIE (ND)
Entity Type:Individual
Prefix:DR
First Name:GRETCHEN
Middle Name:MARIE
Last Name:BORGES LEON
Suffix:
Gender:F
Credentials:ND
Other - Prefix:DR
Other - First Name:GRETCHEN
Other - Middle Name:MARIE
Other - Last Name:BORGES LEON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ND
Mailing Address - Street 1:URB. PALACIOS DEL SOL 242
Mailing Address - Street 2:CALLE ARENA
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00792
Mailing Address - Country:US
Mailing Address - Phone:939-460-4355
Mailing Address - Fax:
Practice Address - Street 1:URB. PALACIOS DEL SOL 242
Practice Address - Street 2:CALLE ARENA
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00792
Practice Address - Country:US
Practice Address - Phone:939-460-4355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-06
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR60171100000X, 202D00000X, 175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist
Yes202D00000XAllopathic & Osteopathic PhysiciansIntegrative Medicine