Provider Demographics
NPI:1689559130
Name:SERVICIOS PSICOLOGICOS INTEGRALES DRA HAYDEE ENID LOPEZ DAVILA LLC
Entity type:Organization
Organization Name:SERVICIOS PSICOLOGICOS INTEGRALES DRA HAYDEE ENID LOPEZ DAVILA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGISTS
Authorized Official - Prefix:DR
Authorized Official - First Name:HAYDEE
Authorized Official - Middle Name:ENID
Authorized Official - Last Name:LOPEZ DAVILA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:787-314-7605
Mailing Address - Street 1:8325 CALLE BELMONTE
Mailing Address - Street 2:
Mailing Address - City:LOIZA
Mailing Address - State:PR
Mailing Address - Zip Code:00772-9757
Mailing Address - Country:US
Mailing Address - Phone:787-314-7605
Mailing Address - Fax:
Practice Address - Street 1:LOCAL 2 CARR 188 KM 2.0 CALLE 6
Practice Address - Street 2:
Practice Address - City:CANOVANAS
Practice Address - State:PR
Practice Address - Zip Code:00729-0697
Practice Address - Country:US
Practice Address - Phone:787-314-7605
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & AgingGroup - Multi-Specialty
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Multi-Specialty