Provider Demographics
NPI:1568122471
Name:SANCHEZ GALARZA, ASTRID NICOLE (PHD)
Entity Type:Individual
Prefix:
First Name:ASTRID
Middle Name:NICOLE
Last Name:SANCHEZ GALARZA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:KM HM. 7.3 CARR 153
Mailing Address - Street 2:PLAZA SANTA ISABEL LOCAL 10-B BO. JAUCA II
Mailing Address - City:SANTA ISABEL
Mailing Address - State:PR
Mailing Address - Zip Code:00757
Mailing Address - Country:US
Mailing Address - Phone:787-617-8583
Mailing Address - Fax:
Practice Address - Street 1:ROAD 153 KM 7.3 JAUCA II
Practice Address - Street 2:SUITE 10-B
Practice Address - City:SANTA ISABEL
Practice Address - State:PR
Practice Address - Zip Code:00757-0000
Practice Address - Country:US
Practice Address - Phone:939-525-1961
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-20
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7267103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty