MEDICARE: PILAR MARIE SANCHEZ BAEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	8896	PR

General Provider Information

NPI Number	:	1144186420
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PILAR MARIE SANCHEZ BAEZ

Provider Business Mailing Address
First Line	:	B11 CALLE 1 HACIENDAS EL ZORZAL
Second Line	:
City	:	BAYAMON
State	:	PR
Zip	:	00956-6840
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	14 AVE UNIVERSIDAD
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00925-2534
Country	:	US
Telephone Number	:	787-717-4483
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/30/2025
Last Update Date	:	01/17/2026

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