MARTA GONGORA RICARDO NPI 1568913200

NPI Information

NPI: 1568913200
Provider Name: MARTA GONGORA RICARDO
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
2510 1ST AVE S
ST PETERSBURG, FL
ZIP 33712
Phone: (727) 289-1164
Get Directions

Marta Gongora Ricardo is a mental health counselor in St Petersburg, FL. Marta Gongora Ricardo NPI is 1568913200. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2510 1ST AVE S
ST PETERSBURG, FL
ZIP 33712-106
Phone: (727) 289-1164
Fax: (866) 788-1127

The enumeration date for this NPI number is 10/18/2016 and was last updated on 10/18/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	193200000X	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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