Provider Demographics
NPI:1528366374
Name:SANCHEZ, RAMON A (MA)
Entity Type:Individual
Prefix:
First Name:RAMON
Middle Name:A
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE BALLENA
Mailing Address - Street 2:268 BRISAS DE MAR CHIQUITA
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674
Mailing Address - Country:US
Mailing Address - Phone:787-224-6163
Mailing Address - Fax:
Practice Address - Street 1:CALLE BALLENA
Practice Address - Street 2:268 BRISAS DE MAR CHIQUITA
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-224-6163
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-03
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR103771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical