Provider Demographics
NPI:1386895480
Name:DESPIAU, CINDY YADIRA (SOCIAL WORKER)
Entity type:Individual
Prefix:MISS
First Name:CINDY
Middle Name:YADIRA
Last Name:DESPIAU
Suffix:
Gender:F
Credentials:SOCIAL WORKER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE 21 DD-14
Mailing Address - Street 2:URB. VILLA LOS SANTOS
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612
Mailing Address - Country:US
Mailing Address - Phone:787-833-3675
Mailing Address - Fax:787-831-3714
Practice Address - Street 1:410 AVE HOSTOS SUITE 7
Practice Address - Street 2:ASSMCA CENTRO SALUD MENTAL MAYAGUEZ
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00682-1522
Practice Address - Country:US
Practice Address - Phone:787-833-3675
Practice Address - Fax:787-831-3714
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-07
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR72891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical