DR. SULY DAIRAY ILLAS MENDEZ (NPI# 1023579844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023579844 |
Entity Type | Individual |
Full Name | DR. SULY DAIRAY ILLAS MENDEZ |
Credential | PHD |
Practice Address |
Carr 125 Km 12.6 Bo Capa Vargas Moca PR 00676-0067 |
Mailing Address |
Hc 2 Box 12446 Moca PR 00676-8263 |
Practice Telephone | 7876420559 |
Mailing Telephone | 7876420559 |
Enumeration Date | 2019-03-26 |
Last Update Date | 2020-01-03 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC1900X |
Psychologist Specialization: Counseling |
3569 | PR | Behavioral Health & Social Service Providers |
Street Address |
CARR 125 KM 12.6 BO CAPA VARGAS |
City | MOCA |
State | PR |
Zip Code | 00676-0067 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447869706 | Roxana Gonzalez | Psychologist | Carretera 444, Barrio Cuchillas, Moca, PR 00676 | 2020-07-23 |
1316562382 | Cristal Imar Hernandez-hernandez | Student in an Organized Health Care Education/Training Program | Carr 421 Km 0.1 Bo Capa Int, Moca, PR 00676 | 2020-06-15 |
1316562093 | Jose Antonio Hernandez | Family Medicine | Calle Monsenor #3 Moca Puerto Rico 00676, Calle Reinita #30 Moca Puerto Rico 00676, Moca, PR 00676 | 2020-06-09 |
1437784733 | Reinaldo Hernandez | Student in an Organized Health Care Education/Training Program | Paseo Dr. Celso Barbosa, San Juan, PR 00676 | 2020-03-06 |
1275164188 | Stephanie Nieves Ferrer | Pharmacist | Carr. 111 Km. 7.8 Bo. Voladoras, Moca, PR 00676 | 2020-01-29 |
1275173437 | Aps Clinics of Puerto Rico, Inc. | Clinic/Center | Moca Professional Plaza, Pr111 Int Pr 110 Km 14.5, Moca, PR 00676 | 2020-01-15 |
1871132001 | Mayte Calero-recio | Pharmacist | 72 Calle Chemary, Moca, PR 00676 | 2020-01-06 |
1851930903 | Lorena Rosa-velez | Pharmacist | Carr. 420 Km 0.5 Bo. Voladoras, Moca, PR 00676 | 2020-01-06 |
1265071237 | Yelitza Hernandez Soto | Pharmacist | Carr. 420 Km 2.2, Bo. Voladoras, Moca, PR 00676 | 2019-12-23 |
1629616362 | Baucage Emg Medical LLC | Physical Medicine & Rehabilitation | Calle Concepcion Vera #550, Hospital San Carlos Borromeo, Moca, PR 00676 | 2019-12-12 |
Find all providers in zip 00676 |
Taxonomy Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477944593 | Normari Pendas Feliciano | Psychologist | #145 Calle 22 De Junio, Moca, PR 00676-0145 | 2015-02-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679174098 | Fabiola Tatiana Adames Villamil | Psychologist | 111 Mgnl De Roosevelt, 14a, San Juan, PR 00917-2713 | 2020-11-03 |
1700487246 | Elimaliel Suarez Cortes | Psychologist | Carr 877 Km1.6, Camino Las Lomas, San Juan, PR 00926 | 2020-11-02 |
1881294072 | Lyneska Hilian Fernandez Flores | Psychologist | 107 Ave. Munoz Rivera, Cayey, PR 00736 | 2020-10-28 |
1861092058 | Rosa Aurora Rivera Sanchez | Psychologist | Carr 1km 56.3 Int Bo Montellano, Sector La Ley Camino Del Sol, Cayey, PR 00736 | 2020-10-28 |
1881294312 | Orialis Lebron | Psychologist | P-3 Urb Bairoa, Ave Velazquez, Caguas, PR 00726 | 2020-10-26 |
1689273716 | Ivonne Garcia Soto | Psychologist | Coamo Plaza Shopping Center Carr. #153 Km. 13.7, Coamo, PR 00769 | 2020-10-20 |
1053919027 | Eyda Yesmin Inigo | Psychologist | Urb. Colinas De Alturas De Mayaguez 2020, Mayaguez, PR 00680 | 2020-10-13 |
1497353536 | Juliann Marie Torres | Psychologist | Carr 185 Km 4.5, Bo Campo Rico, Canovanas, PR 00729-0072 | 2020-10-12 |
1043817042 | Be-u Psychology, LLC | Psychologist | 107 Ave Munoz Rivera S, Cayey, PR 00736-4719 | 2020-10-03 |
1366058190 | Sharleen Vazquez | Psychologist | Pr 129, Lares, PR 00669-0066 | 2020-09-17 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.