Provider Demographics
NPI:1366212896
Name:SERRANO MARRERO, SUHEILY (PSYD)
Entity type:Individual
Prefix:DR
First Name:SUHEILY
Middle Name:
Last Name:SERRANO MARRERO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 AVE JARDINES
Mailing Address - Street 2:
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00693-3986
Mailing Address - Country:US
Mailing Address - Phone:787-454-4419
Mailing Address - Fax:
Practice Address - Street 1:540 AVE JARDINES
Practice Address - Street 2:
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693-3986
Practice Address - Country:US
Practice Address - Phone:787-454-4419
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-05
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7872103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical