Healthcare Provider Details

I. General information

NPI: 1811800469
Provider Name (Legal Business Name): MS. ENID MELISS PUEYO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 RAMON MURGA ALTURAS DE PIEDRAS BLANCAS E201
GUAYNABO PR
00971
US

IV. Provider business mailing address

7 RAMON MURGA ALTURAS DE PIEDRAS BLANCAS 35
GUAYNABO PR
00971
US

V. Phone/Fax

Practice location:
  • Phone: 787-292-9638
  • Fax:
Mailing address:
  • Phone: 787-292-9638
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: