=====================================================
General NPI Number Information
=====================================================
NPI Number | 1124664289
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JULIA MARIA SANCHEZ BARCHILLERATO
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/25/2019
-----------------------------------------------------
Last Update Date | 11/25/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | APARTADO 509 CARR #188 INT. #187
-----------------------------------------------------
City | LOIZA
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00772
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-876-2042
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | APARTADO 509 CARR #188 INT. #187
-----------------------------------------------------
City | LOIZA
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00772
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-876-2042
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number | 24607
-----------------------------------------------------
License Number State | PR
-----------------------------------------------------