Healthcare Provider Details

I. General information

NPI: 1568134328
Provider Name (Legal Business Name): CORAL D. SANCHEZ HENRIQUEZ PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2021
Last Update Date: 07/04/2026
Certification Date: 07/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1056 AVE MUNOZ RIVERA COND. FIRST FEDERAL SUITE 705
SAN JUAN PR
00927-5015
US

IV. Provider business mailing address

1056 AVE MUNOZ RIVERA
SAN JUAN PR
00927-5015
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: