Provider Demographics
NPI:1114692779
Name:STOPYRA, MARIA HELENA NOGUEIRA (MD, HHA, MD FACULTY)
Entity Type:Individual
Prefix:MISS
First Name:MARIA HELENA
Middle Name:NOGUEIRA
Last Name:STOPYRA
Suffix:
Gender:F
Credentials:MD, HHA, MD FACULTY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 LAS CASITAS
Mailing Address - Street 2:
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34951-2865
Mailing Address - Country:US
Mailing Address - Phone:772-217-9704
Mailing Address - Fax:
Practice Address - Street 1:549 NW LAKE WHITNEY PL STE 106
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34986-1606
Practice Address - Country:US
Practice Address - Phone:772-924-3210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-14
Last Update Date:2021-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP1600X, 101YP2500X, 101YS0200X, 103K00000X, 103T00000X, 171000000X, 171R00000X
FL126800000X, 174400000X, 174H00000X, 251B00000X, 251E00000X, 374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No126800000XDental ProvidersDental Assistant
No171000000XOther Service ProvidersMilitary Health Care Provider
No171R00000XOther Service ProvidersInterpreter
No174400000XOther Service ProvidersSpecialist
No174H00000XOther Service ProvidersHealth Educator
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health