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NPI Code Detail

MEDICARE: DR. ANEL JULISSA ESPADA PSYD

MEDICARE: DR. ANEL JULISSA ESPADA PSYD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist2647PR

General Provider Information

NPI Number : 1326361890
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANEL JULISSA ESPADA PSYD
Provider Business Mailing Address
First Line : CALLE FELIPE BONILLA # 3
Second Line :
City : SALINAS
State : PR
Zip : 00751
Country : US
Telephone Number : 787-638-7739
Fax Number :
Provider Business Practice Location Address
First Line : 16 CALLE RAFAEL OCASIO
Second Line :
City : SALINAS
State : PR
Zip : 00751-3240
Country : US
Telephone Number : 787-824-1934
Fax Number : 787-824-4123
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2010
Last Update Date : 01/16/2026

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