Provider Demographics
NPI:1235888330
Name:DEYA, JAVIER ENRIQUE
Entity Type:Individual
Prefix:
First Name:JAVIER
Middle Name:ENRIQUE
Last Name:DEYA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:JAVIER
Other - Middle Name:ENRIQUE
Other - Last Name:DEYA NAVARRO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PARQUE MEDITERRANEO, CAPRI ST. F26
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966
Mailing Address - Country:US
Mailing Address - Phone:787-608-2341
Mailing Address - Fax:
Practice Address - Street 1:PARQUE MEDITERRANEO, CAPRI ST. F26
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00966
Practice Address - Country:US
Practice Address - Phone:787-608-2341
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-23
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program