Nellyann Ayala Caldero, BA, PMB, CFM, RN
Individual provider Active NPI Mastectomy Fitter · Caguas, PR
NPI 1548090152 · NPPES record last updated Feb 12, 2025
Key facts
- NPI
- 1548090152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mastectomy Fitter 224900000X
- License
- CFM03114 (VA)
- Practice address
- Ave. Degetau Bonneville Heights #4 Calle Las Piedras W1
Caguas, PR 00727 - Phone
- (787) 526-5557
- NPI assigned
- Aug 7, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Arts, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CFM03114 | VA | MD | Mastectomy Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miracle of Hope | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mastectomy Fitter |
224900000X | CFM03114 | VA | Yes |
Addresses
Primary practice location
Ave. Degetau Bonneville Heights #4 Calle Las Piedras W1
Caguas, PR 00727
Mailing address
Parque del Monte Calle Caguax Ee-30
Caguas, PR 00727
Phone (787) 526-5557
Other providers in Caguas, PR
- Diana M Aviles Bonilla
- Aviles Plastic Surgery ,PSC
- Diana L Aviles
- Victor Aviles
- Jalal Awad
- Yamira Enid Ayala Delgado
- Ayala Dental LLC
- Jose Luis Ayala Rivera
- Sofia Carolina de Fatima Ayala Rodriguez
- Javennys Marie Ayala Vazquez
All providers in Caguas, PR · Mastectomy Fitter in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.