Provider Demographics
NPI:1336397827
Name:FERRER, GLADYS (SOCIAL WORKER)
Entity Type:Individual
Prefix:MRS
First Name:GLADYS
Middle Name:
Last Name:FERRER
Suffix:
Gender:F
Credentials:SOCIAL WORKER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1269 CALLE ESPANA
Mailing Address - Street 2:PLAZA DE LAS FUENTES
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953-3821
Mailing Address - Country:US
Mailing Address - Phone:787-779-2322
Mailing Address - Fax:787-740-4175
Practice Address - Street 1:1269 CALLE ESPANA
Practice Address - Street 2:PLAZA DE LAS FUENTES
Practice Address - City:TOA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00953-3821
Practice Address - Country:US
Practice Address - Phone:787-779-2322
Practice Address - Fax:787-740-4175
Is Sole Proprietor?:No
Enumeration Date:2008-09-09
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR32771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical