Provider Demographics
NPI:1033517628
Name:SANCHEZ, SHEILA
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 88
Mailing Address - Street 2:
Mailing Address - City:SAN LORENZO
Mailing Address - State:PR
Mailing Address - Zip Code:00754-0088
Mailing Address - Country:US
Mailing Address - Phone:787-547-3931
Mailing Address - Fax:
Practice Address - Street 1:242 CAMINO DE LAS PALMAS
Practice Address - Street 2:URB VEREDAS
Practice Address - City:GURABO
Practice Address - State:PR
Practice Address - Zip Code:00778-9683
Practice Address - Country:US
Practice Address - Phone:787-547-3931
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-12
Last Update Date:2014-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3032235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist