Healthcare Provider Details

I. General information

NPI: 1508773755
Provider Name (Legal Business Name): IRIS PALMIRA SANCHEZ-PACHECO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: IRIS SANCHEZ-PACHECO MSW

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

STREET 371 KM 10 H 1, INT. NEIGHBORHOOD RANCHERAS
YAUCO PR
00698
US

IV. Provider business mailing address

HC 2 BOX 11079
YAUCO PR
00698-9694
US

V. Phone/Fax

Practice location:
  • Phone: 787-342-6476
  • Fax:
Mailing address:
  • Phone: 787-342-6476
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number16284
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: