Provider Demographics
NPI:1033417456
Name:APONTE MELENDEZ, SHERLEY M (THERAPIST)
Entity Type:Individual
Prefix:
First Name:SHERLEY
Middle Name:M
Last Name:APONTE MELENDEZ
Suffix:
Gender:F
Credentials:THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB HUYKE 204 CALLE UNION
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924
Mailing Address - Country:US
Mailing Address - Phone:787-772-4783
Mailing Address - Fax:787-772-4783
Practice Address - Street 1:URB HUYKE 204 CALLE UNION
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PUERTO RICO
Practice Address - Zip Code:00924
Practice Address - Country:UM
Practice Address - Phone:787-772-4783
Practice Address - Fax:787-772-4783
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-09
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
PR3846103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty