Provider Demographics
NPI:1528798980
Name:ALCAIDE, SYLMA GRISELLE (NL)
Entity type:Individual
Prefix:
First Name:SYLMA
Middle Name:GRISELLE
Last Name:ALCAIDE
Suffix:
Gender:F
Credentials:NL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:522 AVENIDA CESAR GONZALEZ
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918
Mailing Address - Country:US
Mailing Address - Phone:787-349-7375
Mailing Address - Fax:
Practice Address - Street 1:522
Practice Address - Street 2:AVENIDA CESAR GONZALEZ
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-0091
Practice Address - Country:US
Practice Address - Phone:787-349-7375
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-16
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR192175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath