Healthcare Provider Details

I. General information

NPI: 1144186446
Provider Name (Legal Business Name): HEIDY MARIE RIVERA SANCHEZ MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/30/2025
Last Update Date: 12/30/2025
Certification Date: 12/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 CALLE CRUZ HADDOCK URB FERNANDEZ
CIDRA PR
00739
US

IV. Provider business mailing address

PO BOX 546
BARRANQUITAS PR
00794-0546
US

V. Phone/Fax

Practice location:
  • Phone: 787-213-2449
  • Fax:
Mailing address:
  • Phone: 787-213-2449
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number6278
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: