Healthcare Provider Details

I. General information

NPI: 1568134328
Provider Name (Legal Business Name): CORAL DENNIS SANCHEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2021
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CONDOMINIO FIRST FEDERAL SUITE 705 1056 AVENIDA MUNOZ RIVERA
SAN JUAN PR
00927
US

IV. Provider business mailing address

CONDOMINIO FIRST FEDERAL SUITE 705 1056 AVENIDA MUNOZ RIVERA
SAN JUAN PR
00927
US

V. Phone/Fax

Practice location:
  • Phone: 787-604-7428
  • Fax:
Mailing address:
  • Phone: 787-604-7428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number6905
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: