Healthcare Provider Details

I. General information

NPI: 1497421663
Provider Name (Legal Business Name): SUHEILY NAVEDO RESTO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2021
Last Update Date: 08/14/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CORCHADO 5 CARR 189 LOCAL A 2 URB PARADIS
CAGUAS PR
00725
US

IV. Provider business mailing address

HC 2 BOX 13838
GURABO PR
00778-9805
US

V. Phone/Fax

Practice location:
  • Phone: 787-469-9350
  • Fax:
Mailing address:
  • Phone: 787-433-8018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number15575
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: