Provider Demographics
NPI:1538869326
Name:SIERRA, LEINAD
Entity type:Individual
Prefix:MRS
First Name:LEINAD
Middle Name:
Last Name:SIERRA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2J61 CALLE JOSE M SOLIS
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727-1127
Mailing Address - Country:US
Mailing Address - Phone:787-469-9395
Mailing Address - Fax:
Practice Address - Street 1:STREET JOSE M. SOLIS BAIROA PARK
Practice Address - Street 2:2J61
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00727-1127
Practice Address - Country:US
Practice Address - Phone:787-469-9395
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-09
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10851104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker