Basic Information
Provider Information
NPI: 1477561041
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BAYON-HERNANDEZ
FirstName: NASHARA
MiddleName: M
NamePrefix: DR.
NameSuffix:  
Credential: PHD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 10 STREET NUM 1013
Address2: VILLA NEVAREZ
City: SAN JUAN
State: PR
PostalCode: 00927
CountryCode: US
TelephoneNumber: 7876375977
FaxNumber:  
Practice Location
Address1: 10 CASIA ST.
Address2:  
City: SAN JUAN
State: PR
PostalCode: 009213201
CountryCode: US
TelephoneNumber: 7876417582
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/03/2006
LastUpdateDate: 11/15/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103TC0700X2626PRY Behavioral Health & Social Service ProvidersPsychologistClinical

No ID Information.


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