Provider Demographics
NPI:1861366197
Name:CORDERO VALENTIN, NASHALIE ZOE
Entity type:Individual
Prefix:
First Name:NASHALIE
Middle Name:ZOE
Last Name:CORDERO VALENTIN
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:HC 5 BOX 516537
Mailing Address - Street 2:
Mailing Address - City:SAN SEBASTIAN
Mailing Address - State:PR
Mailing Address - Zip Code:00685-5776
Mailing Address - Country:US
Mailing Address - Phone:939-250-6543
Mailing Address - Fax:
Practice Address - Street 1:HC 5 BOX 516537
Practice Address - Street 2:
Practice Address - City:SAN SEBASTIAN
Practice Address - State:PR
Practice Address - Zip Code:00685-5776
Practice Address - Country:US
Practice Address - Phone:939-250-6543
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-30
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8371103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling