Healthcare Provider Details

I. General information

NPI: 1942105143
Provider Name (Legal Business Name): CHEZ PSYCHIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 AVE LAS CUMBRES STE 201
GUAYNABO PR
00969-5527
US

IV. Provider business mailing address

1784 CALLE ALCALA
SAN JUAN PR
00921-4334
US

V. Phone/Fax

Practice location:
  • Phone: 787-731-5785
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MANUEL SANCHEZ
Title or Position: PSYCHIATRIST
Credential: MD
Phone: 939-498-1890