Provider Demographics
NPI:1376084061
Name:MURIEL SANOGUET, JANELLY (PHD)
Entity Type:Individual
Prefix:MISS
First Name:JANELLY
Middle Name:
Last Name:MURIEL SANOGUET
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MISS
Other - First Name:JANELLY
Other - Middle Name:
Other - Last Name:MURIEL-SANOGUET
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:F12 CALLE ROBLE BLANCO
Mailing Address - Street 2:SANTA CLARA DEV
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:787-466-4860
Mailing Address - Fax:
Practice Address - Street 1:B3 CALLE LOPE FLORES
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-2637
Practice Address - Country:US
Practice Address - Phone:787-210-6458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-14
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5838103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical