Provider Demographics
NPI:1619414778
Name:SANCHEZ, LESLIE MERCEDES (SLT)
Entity Type:Individual
Prefix:
First Name:LESLIE
Middle Name:MERCEDES
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:SLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 336
Mailing Address - Street 2:
Mailing Address - City:ANGELES
Mailing Address - State:PR
Mailing Address - Zip Code:00611-0336
Mailing Address - Country:US
Mailing Address - Phone:787-205-5243
Mailing Address - Fax:
Practice Address - Street 1:CARR 600 KM 6.7
Practice Address - Street 2:
Practice Address - City:ANGELES
Practice Address - State:PR
Practice Address - Zip Code:00611-0336
Practice Address - Country:US
Practice Address - Phone:787-205-5243
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-27
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2088235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist