Healthcare Provider Details

I. General information

NPI: 1124664289
Provider Name (Legal Business Name): JULIA MARIA SANCHEZ BARCHILLERATO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JULIA MARIA SANCHEZ BARCHILLERATO

II. Dates (important events)

Enumeration Date: 11/25/2019
Last Update Date: 11/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

APARTADO 509 CARR #188 INT. #187
LOIZA PR
00772
US

IV. Provider business mailing address

APARTADO 509 CARR #188 INT. #187
LOIZA PR
00772
US

V. Phone/Fax

Practice location:
  • Phone: 787-876-2042
  • Fax:
Mailing address:
  • Phone: 787-876-2042
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number24607
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: