Provider Demographics
NPI:1699514794
Name:HERNANDEZ LOYOLA, CYNTHIA IVETTE (LIC)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:IVETTE
Last Name:HERNANDEZ LOYOLA
Suffix:
Gender:F
Credentials:LIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:ALTURAS DE FLAMBOYAN 002 CALLE 36
Mailing Address - Street 2:5TA SECCION
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959-8070
Mailing Address - Country:US
Mailing Address - Phone:787-345-2793
Mailing Address - Fax:
Practice Address - Street 1:ALTURAS DE FLAMBOYAN 002 CALLE 36
Practice Address - Street 2:5TA SECCION
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-8070
Practice Address - Country:US
Practice Address - Phone:787-345-2793
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-20
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1617101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional