Provider Demographics
NPI:1659509420
Name:SANCHEZ-LARRAGOITY, AMARIS (PSY MA)
Entity Type:Individual
Prefix:MS
First Name:AMARIS
Middle Name:
Last Name:SANCHEZ-LARRAGOITY
Suffix:
Gender:F
Credentials:PSY MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1555 CALLE MARTIN TRAVIESO
Mailing Address - Street 2:APT. 203
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00911-1945
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1555 CALLE MARTIN TRAVIESO
Practice Address - Street 2:APT. 203
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00911-1945
Practice Address - Country:US
Practice Address - Phone:787-644-0001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-30
Last Update Date:2009-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3048103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist