Luis Antonio Berdecia Sr.
Social Worker, Clinical in Ponce, PR. Individual provider (NPI-1).
NPI number1972305704
StatusActive
Last updated in NPPESMar 25, 2025
Details
- NPI
- 1972305704
- Entity type
- Individual (NPI-1)
- Name
- Luis Antonio Berdecia Sr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 25, 2025
- Certification date
- Mar 25, 2025
- Last updated
- Mar 25, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 15121 | PR | Yes |
Practice location
1474 Calle SaludApt 13
Ponce, PR 00730-5828
Phone 787-674-7918
Mailing address
1474 Calle Salud Apt 13Ponce, PR 00730-5828
Phone 787-674-7918
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