Provider Demographics
NPI:1992403935
Name:LEBRON FLORES, SYLVIA NAISHA
Entity type:Individual
Prefix:MISS
First Name:SYLVIA
Middle Name:NAISHA
Last Name:LEBRON FLORES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 CALLE PEDRO RODRIGUEZ ACOSTA
Mailing Address - Street 2:SAN ISIDRO
Mailing Address - City:SABANA GRANDE
Mailing Address - State:PR
Mailing Address - Zip Code:00637-2053
Mailing Address - Country:US
Mailing Address - Phone:787-382-0603
Mailing Address - Fax:
Practice Address - Street 1:MAYAGUEZ MEDICAL CENTER- ASSMCA
Practice Address - Street 2:CARRETERA 2 KM 157 BO SABALOS
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-832-7856
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-20
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR161021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical