Healthcare Provider Details

I. General information

NPI: 1760302392
Provider Name (Legal Business Name): NITSYA DEL CARMEN SALCEDO PSICOLOGA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARRETERA 123 KM. 54.1 INTERIOR BARRIO SALTO ARRIBA SECTOR EL GUANO
UTUADO PR
00641
US

IV. Provider business mailing address

PO BOX 942
UTUADO PR
00641-0942
US

V. Phone/Fax

Practice location:
  • Phone: 787-487-5040
  • Fax:
Mailing address:
  • Phone: 787-669-5809
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number9186
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: