Provider Demographics
NPI:1205901006
Name:NUNEZ CABALLERO, YOLANDA (PSY D)
Entity type:Individual
Prefix:
First Name:YOLANDA
Middle Name:
Last Name:NUNEZ CABALLERO
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:327 CALLE CORDOVA
Mailing Address - Street 2:URB. LA MESETA
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-7588
Mailing Address - Country:US
Mailing Address - Phone:787-360-6977
Mailing Address - Fax:
Practice Address - Street 1:AVE. MUNOZ MARIN W 11
Practice Address - Street 2:URB. MARIOLGA
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-0000
Practice Address - Country:US
Practice Address - Phone:787-360-6977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2009-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2572103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical