Provider Demographics
NPI:1003780180
Name:DE JESUS CABAN, SIULMARY LUISA (FNP-C)
Entity type:Individual
Prefix:
First Name:SIULMARY
Middle Name:LUISA
Last Name:DE JESUS CABAN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1746 CALLE AFRODITA
Mailing Address - Street 2:URB VENUS GARDEN
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-4848
Mailing Address - Country:US
Mailing Address - Phone:787-329-6016
Mailing Address - Fax:
Practice Address - Street 1:1746 CALLE AFRODITA
Practice Address - Street 2:URB VENUS GARDEN
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-4848
Practice Address - Country:US
Practice Address - Phone:787-329-6016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-01
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5924-PA363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily