Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mirnalise Cordova Gonzalez

Individual provider Clinical Social Worker · NPI 1790532075

Mirnalise Cordova Gonzalez is a Clinical Social Worker in Bayamon, Puerto Rico. Practices as a sole proprietor. Licensed in Puerto Rico.

Licensed in
PR
In the registry since
2024

Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

PO Box 607087
Bayamon, PR 00960-7087
Phone: (787) 763-7575

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 15216 (PR)

Record details

NPI number1790532075
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 3, 2024
Last updated in NPPESMay 3, 2024
Certification dateApril 25, 2024

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