JUAN GRULLON


Address: 302 Eustis St, Roxbury, MA 02119-3800
Phone: 6174451123

JUAN GRULLON (NPI# 1104320357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104320357
Entity Type Individual
Full Name JUAN GRULLON
Practice Address 302 Eustis St
Roxbury
MA 02119-3800
Practice Telephone 6174451123
Mailing Telephone 6174451123
Enumeration Date 2018-03-22
Last Update Date 2018-03-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Office Location

Street Address 302 EUSTIS ST
City ROXBURY
State MA
Zip Code 02119-3800

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518461482 Ariany Sanchez Case Manager/Care Coordinator 302 Eustis St, Roxbury, MA 02119-3800 2018-03-23
1396249280 Michelle Santiago Case Manager/Care Coordinator 302 Eustis St, Roxbury, MA 02119-3800 2018-03-23
1184128050 Anna M Rodriguez Counselor 302 Eustis St, Roxbury, MA 02119-3800 2018-03-23
1700380672 Frances Samidy-ortiz Case Manager/Care Coordinator 302 Eustis St, Roxbury, MA 02119-3800 2018-03-23
1104320365 Mary-alyssa E Nieman Counselor 302 Eustis St, Roxbury, MA 02119-3800 2018-03-22
1922502186 Dina Park-matsas Counselor 302 Eustis St, Roxbury, MA 02119-3800 2018-03-22
1902300163 Felix Rivera Counselor 302 Eustis St, Roxbury, MA 02119-3800 2018-03-22
1407350655 Beanette Damiron Counselor 302 Eustis St, Roxbury, MA 02119-3800 2018-03-22
1477057636 Dibel Prieto Case Manager/Care Coordinator 302 Eustis St, Roxbury, MA 02119-3800 2018-03-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427661644 Christina Kim Hunt Case Manager/Care Coordinator 75 Amory St, Garden Level, Boston, MA 02119 2020-08-27
1962021089 Taha Fathima Khan Student in an Organized Health Care Education/Training Program Boston Medical Center, 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 2020-04-09
1154957132 Katherine Erin Douglas Pediatrics 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 2020-03-21
1720536568 Ramy Y Barrett Counselor 77 Savin Street, Apartment # 3, Boston, MA 02119 2016-09-21
1083089676 Natasha Cruz Counselor 263 Eustis Street, Roxbury, MA 02119 2015-12-08
1922478486 Natalie Jones Counselor 520 Dudley St., Roxbury, MA 02119 2015-09-28
1922484799 Dina Ghaly-habib Student in an Organized Health Care Education/Training Program 100 East Newton St., G-706, Boston, MA 02119 2015-08-04
1942697248 Pyramid Builders Case Management 11 Roxbury Street, Boston, MA 02119 2015-04-24
1063810984 Sophia Smalls Counselor 250 Walnut Ave, Apt. 10, Boston, MA 02119 2014-12-09
1750705059 Alasa Hawkins Counselor 502 Dudley St, Roxbury, MA 02119 2014-02-07
Find all providers in zip 02119

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083089676 Natasha Cruz Counselor 263 Eustis Street, Roxbury, MA 02119 2015-12-08
1083046205 Christopher Conway Counselor 432 Dudley St Ste 211, Roxbury, MA 02119-2763 2013-07-30
1215297304 Earl Dandy Jr. Counselor 15 Elmore St # 2, Roxbury, MA 02119-1618 2012-05-22
1437385754 Alice Wood Griffin Counselor 28 Hemlock Rd, Roxbury, CT 06783-1409 2009-06-01
1861612053 Ameatriss Little Counselor 55 Topeka Street, Roxbury, MA 02215 2007-04-27
1184128050 Anna M Rodriguez Counselor 302 Eustis St, Roxbury, MA 02119-3800 2018-03-23
1104320365 Mary-alyssa E Nieman Counselor 302 Eustis St, Roxbury, MA 02119-3800 2018-03-22
1881198034 Jose O Colon Counselor 245 Eustis St, Roxbury, MA 02119-2826 2018-03-22
1922502186 Dina Park-matsas Counselor 302 Eustis St, Roxbury, MA 02119-3800 2018-03-22
1902300163 Felix Rivera Counselor 302 Eustis St, Roxbury, MA 02119-3800 2018-03-22
Find all providers in ROXBURY

Competitor

Search similar providers

City ROXBURY
Zip Code 02119

Improve Information

Please comment or provide details below to improve the information on JUAN GRULLON.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches