Healthcare Provider Details

I. General information

NPI: 1073728200
Provider Name (Legal Business Name): DELIA E SANCHEZ ROSA MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2007
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AVE PRINCIPAL URB BARALT C24
FAJARDO PR
00738
US

IV. Provider business mailing address

URB REPARTO CAGUAX CALLE CONUCO J17
CAGUAS PR
00725-4960
US

V. Phone/Fax

Practice location:
  • Phone: 787-557-5554
  • Fax:
Mailing address:
  • Phone: 787-557-5554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number3930
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: