Provider Demographics
NPI:1174946354
Name:CORIANO, SHERLY
Entity type:Individual
Prefix:
First Name:SHERLY
Middle Name:
Last Name:CORIANO
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 1:105 AVE ARTERIAL HOSTOS BAYSIDE COVE
Mailing Address - Street 2:SUITE 84
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918
Mailing Address - Country:US
Mailing Address - Phone:787-365-8811
Mailing Address - Fax:
Practice Address - Street 1:735 AVE. PONCE DE LEON
Practice Address - Street 2:TORRE AUXILIO MUTUO SUITE 501
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917-5022
Practice Address - Country:US
Practice Address - Phone:787-365-8811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-24
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5417103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical