Provider Demographics
NPI:1518161421
Name:AYALA SANCHEZ, ANGEL RAFAEL SR (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ANGEL
Middle Name:RAFAEL
Last Name:AYALA SANCHEZ
Suffix:SR
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PRADERAS DE MOROVIS SUR
Mailing Address - Street 2:68 CALLE VERANO
Mailing Address - City:MOROVIS
Mailing Address - State:PR
Mailing Address - Zip Code:00687
Mailing Address - Country:US
Mailing Address - Phone:787-375-7608
Mailing Address - Fax:
Practice Address - Street 1:CARR 149 KM 7.7 RAMAL INTERIOR 643
Practice Address - Street 2:BO ARRIBA SALIENTE
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-375-7608
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2016-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2625103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical