| Doctor Name: | MISS ANABEL GRACIA |
| NPI Number: | 1336385368 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYCHOLOGIST |
| License Number: | 2115 |
| Business Practice Address: | State Road 14 Sargento Santiago Interior Aibonito, PR - 007051379 |
| Business Phone Number: | 7877356115 |
| Business Fax Number: | 7877356190 |
| Mailing Address: | 2103 Calle Amazona Urb. Campo Primavera, CIDRA |
| State: | PUERTO RICO |
| Postal Code: | 00739 |
| Phone Number: | 7876030150 |
| Fax Number: | 7877356190 |
| NPI Enumeration Date: | 12/22/2008 |
| NPI Last Update Date: | 12/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 2115 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |