Provider Demographics
NPI:1295927465
Name:PICART, GREISHA
Entity type:Individual
Prefix:MRS
First Name:GREISHA
Middle Name:
Last Name:PICART
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:PO BOX 10747
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00732-0747
Mailing Address - Country:US
Mailing Address - Phone:787-360-8350
Mailing Address - Fax:787-840-8645
Practice Address - Street 1:COND PONCIANA
Practice Address - Street 2:SUITE 405 CALLE MARINA 9140
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-2030
Practice Address - Country:US
Practice Address - Phone:787-360-8350
Practice Address - Fax:787-840-8645
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-13
Last Update Date:2007-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRAC0706251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management