TEYREM ILIEM SANTOS


Address: Ave. Teniente Nelson Martinez, Calle 18 Ff1 Arturas De Flamboyan, Bayamon, PR 00959
Phone: 7873998093

TEYREM ILIEM SANTOS (NPI# 1134496573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134496573
Entity Type Individual
Full Name TEYREM ILIEM SANTOS
Credential MA
Practice Address Ave. Teniente Nelson Martinez
Calle 18 Ff1 Arturas De Flamboyan
Bayamon
PR 00959
Mailing Address Po Box 6022
Pmb 61
Carolina
PR 00988-6022
Practice Telephone 7873998093
Mailing Telephone 7873998093
Enumeration Date 2011-11-30
Last Update Date 2011-11-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TS0200X Psychologist
Specialization: School
3408 PR Behavioral Health & Social Service Providers

Office Location

Street Address AVE. TENIENTE NELSON MARTINEZ
CALLE 18 FF1 ARTURAS DE FLAMBOYAN
City BAYAMON
State PR
Zip Code 00959

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Taxonomy Information

Taxonomy Code 103TS0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization School

Taxonomy Definition

Definition to come...

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Competitor

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City BAYAMON
Zip Code 00959

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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