Provider Demographics
NPI:1851717276
Name:LOPEZ DAVILA, HAYDEE ENID (PHD)
Entity type:Individual
Prefix:DR
First Name:HAYDEE
Middle Name:ENID
Last Name:LOPEZ DAVILA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8325 CALLE BELMONTE
Mailing Address - Street 2:VISTAS DEL OCEANO
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:787-256-9256
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:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-10
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5214103T00000X
PR005214103TB0200X, 103TM1800X, 103TP2701X, 103TS0200X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool