Provider Demographics
NPI:1497421663
Name:NAVEDO RESTO, SUHEILY (MD)
Entity type:Individual
Prefix:MRS
First Name:SUHEILY
Middle Name:
Last Name:NAVEDO RESTO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 2 BOX 13838
Mailing Address - Street 2:
Mailing Address - City:GURABO
Mailing Address - State:PR
Mailing Address - Zip Code:00778-9805
Mailing Address - Country:US
Mailing Address - Phone:787-433-8018
Mailing Address - Fax:
Practice Address - Street 1:CORCHADO 5 CARR 189 LOCAL A 2 URB PARADIS
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-469-9350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-18
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR155751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR15575OtherSOCIAL WORKER WITH PERMANENT LICENSE
PR039231800Medicaid