Provider Demographics
NPI:1083469464
Name:SANCHEZ, JENIFFER L (LICENCIADA)
Entity Type:Individual
Prefix:MISS
First Name:JENIFFER
Middle Name:L
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:LICENCIADA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE RAMON BALDORIOTY DE CASTRO D4 URB. PARADIS
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725
Mailing Address - Country:US
Mailing Address - Phone:787-481-3454
Mailing Address - Fax:
Practice Address - Street 1:CALLE RAMON BALDORIOTY DE CASTRO D4 URB. PARADIS
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-481-3454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-19
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6290103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling