Servicios Terapeuticos Integrados Yackny

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

SERVICIOS TERAPEUTICOS INTEGRADOS YACKNY

Practice address

205 Calle Juan San Antonio
Moca, PR 00676-4144

Phone

(787) 364-4605

NPI assigned

Jul 26, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Nydia Iris Hernandez, DRA

Title

Presidenta

Phone

(787) 364-4605

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571702400000",
    "number": "1194379362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 7066",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006769570",
            "telephone_number": "787-364-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 CALLE JUAN SAN ANTONIO",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006764144",
            "telephone_number": "787-364-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICIOS TERAPEUTICOS INTEGRADOS YACKNY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-26",
        "last_updated": "2019-10-22",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "NYDIA",
        "authorized_official_middle_name": "IRIS",
        "authorized_official_title_or_position": "PRESIDENTA",
        "authorized_official_telephone_number": "787-364-4605",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DRA"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marriliz Serrano Mendez, BSN
• Ana Everedith Serrano, MD
• Servicios de Anestesia Hospital San Carlos Borromeo
• Servicios de Salud del Oeste, LLC
• Servicios Hospitalistas San Carlos Borromeo
• Juan a Sierra Vega
• Sky Medical Solutions Inc
• Skymed Pre-Hospital Medicine Inc
• Maribel Soba
• Melissa Soto Badillo

• Psychologist in Moca, PR
• Providers in Moca, PR by specialty
• Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.