Healthcare Provider Details

I. General information

NPI: 1801624945
Provider Name (Legal Business Name): JESSIE SANCHEZ HENRIQUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2024
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CONDOMINIO EL CENTRO I 500 AVE LUIS MUNOZ RIVERA OFICINA 242
SAN JUAN PR
00918-3300
US

IV. Provider business mailing address

CONDOMINIO EL CENTRO I 500 AVE MUNOZ RIVERA OFICINA 242
SAN JUAN PR
00918-3300
US

V. Phone/Fax

Practice location:
  • Phone: 787-587-9852
  • Fax:
Mailing address:
  • Phone: 787-587-9852
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number7866
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: