Healthcare Provider Details

I. General information

NPI: 1295212967
Provider Name (Legal Business Name): DANIA ROSARIO SOSTRE PSY.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2018
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

EDIFICIO BRISAS DEL MAR #1 CARR 693 KM 13.8
VEGA ALTA PR
00692-9858
US

IV. Provider business mailing address

PO BOX 1496
DORADO PR
00646-1496
US

V. Phone/Fax

Practice location:
  • Phone: 787-270-1420
  • Fax:
Mailing address:
  • Phone: 787-634-1281
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number005584
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: