Provider Demographics
NPI:1366656803
Name:MAESTRE, SHEILA YANIRA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:YANIRA
Last Name:MAESTRE
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Gender:F
Credentials:PSYD
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Mailing Address - Street 1:CALLE MENDEZ VIGO 63 ESTE
Mailing Address - Street 2:EDIFICIO CENTRO PLAZA, OFICINA 4A
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00680-4968
Mailing Address - Country:US
Mailing Address - Phone:787-806-2220
Mailing Address - Fax:787-806-2220
Practice Address - Street 1:CALLE MENDEZ VIGO 63 ESTE
Practice Address - Street 2:EDIFICIO CENTRO PLAZA, OFICINA 4A
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-4968
Practice Address - Country:US
Practice Address - Phone:787-806-2220
Practice Address - Fax:787-806-2220
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2010-01-19
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Provider Licenses
StateLicense IDTaxonomies
PR2664103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical