Provider Demographics
NPI:1215087028
Name:CUEVAS PADRO, SYLMA (PSYD)
Entity type:Individual
Prefix:DR
First Name:SYLMA
Middle Name:
Last Name:CUEVAS PADRO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:543 AVE JOSE CEDENO CARDONA CAMPOS BLDG.
Mailing Address - Street 2:SUITE 204
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612-3935
Mailing Address - Country:US
Mailing Address - Phone:787-879-1121
Mailing Address - Fax:787-879-1121
Practice Address - Street 1:543 AVE JOSE CEDENO
Practice Address - Street 2:SUITE 204
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612-3935
Practice Address - Country:US
Practice Address - Phone:787-879-1121
Practice Address - Fax:787-879-1121
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1524103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRPS-1005OtherPALIC
PR2202216OtherCIGNA
PRP845OtherIMC-FIRST MEDICAL
PR22597CUOtherTRIPLE SSS
PR22597CUOtherTRIPLE SSS OPTIMO
PR2683OtherAPS T-REFORMA
PR528116OtherMCS(PAE) (FHC)
PR1721OtherHUMANA (APS)
PR528116OtherPMC (FHC)
PR528116OtherTRIPLE SSS FEDERAL
PR528116OtherPMC (FHC)