Provider Demographics
NPI:1255224440
Name:HORNEDO, NAMYR CAMIL (MA)
Entity type:Individual
Prefix:
First Name:NAMYR
Middle Name:CAMIL
Last Name:HORNEDO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 CALLE TURIN
Mailing Address - Street 2:
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00693-3604
Mailing Address - Country:US
Mailing Address - Phone:787-354-9958
Mailing Address - Fax:
Practice Address - Street 1:AVE. CATALINA KM 2.4 PARCELA #3
Practice Address - Street 2:SECTOR BARRANCA
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-718-0533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2184103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist