Nellyann Ayala Caldero, BA, PMB, CFm, RN
Mastectomy Fitter in Caguas, PR. Individual provider (NPI-1).
NPI number1548090152
StatusActive
Last updated in NPPESFeb 12, 2025
Details
- NPI
- 1548090152
- Entity type
- Individual (NPI-1)
- Name
- Nellyann Ayala Caldero
- Credential
- BA, PMB, CFm, RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 7, 2024
- Certification date
- Feb 12, 2025
- Last updated
- Feb 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224900000X | Mastectomy Fitter | CFm03114 | VA | Yes |
Practice location
Ave. Degetau Bonneville Heights #4 Calle Las Piedras W1Caguas, PR 00727
Phone 787-526-5557
Mailing address
Parque Del Monte Calle Caguax Ee-30Caguas, PR 00727
Phone 787-526-5557
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