Healthcare Provider Details

I. General information

NPI: 1336069822
Provider Name (Legal Business Name): JENET MERCED SANCHEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB. VILLAS DEL CARMEN CALLE 9 J-4
GURABO PR
00778
US

IV. Provider business mailing address

URB. VILLAS DEL CARMEN CALLE 9 J-4
GURABO PR
00778
US

V. Phone/Fax

Practice location:
  • Phone: 787-390-8358
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number1264
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: