Provider Demographics
NPI:1184843344
Name:ANDERSON, NELIDA (RHIA)
Entity Type:Individual
Prefix:MRS
First Name:NELIDA
Middle Name:
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:RHIA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 371327
Mailing Address - Street 2:
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00737-1327
Mailing Address - Country:US
Mailing Address - Phone:787-263-3714
Mailing Address - Fax:787-738-2663
Practice Address - Street 1:CENTRO TRATAMIENTO ADULTOS, JOSE DE DIEGO 392 OESTE
Practice Address - Street 2:
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00737-2770
Practice Address - Country:US
Practice Address - Phone:787-738-5020
Practice Address - Fax:787-738-2149
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR0459526174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist