Provider Demographics
NPI:1821971417
Name:PADILLA ANDUJAR, DAYANE MARIE (PR)
Entity type:Individual
Prefix:
First Name:DAYANE
Middle Name:MARIE
Last Name:PADILLA ANDUJAR
Suffix:
Gender:F
Credentials:PR
Other - Prefix:MISS
Other - First Name:DAYANE
Other - Middle Name:MARIE
Other - Last Name:PADILLA ANDUJAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LICENCIADA
Mailing Address - Street 1:BARRIADA MONSERRATE
Mailing Address - Street 2:CASA #14
Mailing Address - City:SANTA ISABEL
Mailing Address - State:PR
Mailing Address - Zip Code:00757
Mailing Address - Country:US
Mailing Address - Phone:787-533-4510
Mailing Address - Fax:
Practice Address - Street 1:SECTOR LOS FRAILES LLANOS EDIF. GONZALEZ
Practice Address - Street 2:APART. 2
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969
Practice Address - Country:US
Practice Address - Phone:787-533-4510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16111104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty