Healthcare Provider Details

I. General information

NPI: 1215087028
Provider Name (Legal Business Name): SYLMA CUEVAS PADRO PSY.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/12/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

543 AVE JOSE CEDENO SUITE 204
ARECIBO PR
00612-3935
US

IV. Provider business mailing address

543 AVE JOSE CEDENO CARDONA CAMPOS BLDG. SUITE 204
ARECIBO PR
00612-3935
US

V. Phone/Fax

Practice location:
  • Phone: 787-879-1121
  • Fax: 787-879-1121
Mailing address:
  • Phone: 787-879-1121
  • Fax: 787-879-1121

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1524
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: