Provider Demographics
NPI:1508046434
Name:BELTRAN, ADA NILDA
Entity Type:Individual
Prefix:
First Name:ADA
Middle Name:NILDA
Last Name:BELTRAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HOSPITAL REGIONAL BAYAMON
Mailing Address - Street 2:APARTADO 4258 BAYAMON GARDEN STATION
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00957
Mailing Address - Country:US
Mailing Address - Phone:787-780-6090
Mailing Address - Fax:
Practice Address - Street 1:AVE. LAUREL SANTA JUANITA
Practice Address - Street 2:APARTADO 4258 BAYAMN GRADEN STATION
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00957
Practice Address - Country:US
Practice Address - Phone:787-780-6090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-08
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR000204101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health