Glenda Raquel Perez Dominguez, LCDA is a
Counselor based in Cabo Rojo, Puerto Rico. Glenda Raquel Perez Dominguez is licensed to practice in Puerto Rico (license number 4514) and her current practice location is
117 Calle Bahia, Cabo Rojo, Puerto Rico. She can be reached at her office (for appointments etc.) via phone at
(787) 642-2581.
NPI number for Glenda Raquel Perez Dominguez is 1316739360 and her current mailing address is 117 Calle Bahia, Cabo Rojo, Puerto Rico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316739360.
Healthcare Provider's Profile
| Full Name | Glenda Raquel Perez Dominguez |
|---|
| Gender | Female |
|---|
| Speciality | Counselor |
|---|
| Location | 117 Calle Bahia, Cabo Rojo, Puerto Rico |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1316739360
- Provider Enumeration Date: 05/17/2025
- Last Update Date: 05/17/2025
Medical Identifiers
Medical identifiers for Glenda Raquel Perez Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316739360 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101Y00000X | Counselor | 4514 (Puerto Rico) | Primary |
| 101YP1600X | Counselor - Pastoral | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 101YS0200X | Counselor - School | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Glenda Raquel Perez Dominguez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Glenda Raquel Perez Dominguez, LCDA
117 Calle Bahia,
Cabo Rojo, PR 00623-8942
Ph: (787) 642-2581 | Glenda Raquel Perez Dominguez, LCDA
117 Calle Bahia,
Cabo Rojo, PR 00623-8942
Ph: (787) 642-2581 |
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