Provider Demographics
NPI:1679658561
Name:SUAU - SANCHIDRIAN, GLORIA M (MD)
Entity Type:Individual
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First Name:GLORIA
Middle Name:M
Last Name:SUAU - SANCHIDRIAN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:PSIQUIATRIA RCM
Mailing Address - Street 2:PO BOX 29134
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00929-0134
Mailing Address - Country:US
Mailing Address - Phone:787-522-8280
Mailing Address - Fax:787-522-8274
Practice Address - Street 1:CLINICA PARA TU SALUD EMOCIONAL CEM
Practice Address - Street 2:REPARTO METROPOLITANO SHOPPING, AVE.AMERICO MIRANDA
Practice Address - City:RIO PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00921
Practice Address - Country:US
Practice Address - Phone:787-522-8280
Practice Address - Fax:787-522-8274
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2019-08-15
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Provider Licenses
StateLicense IDTaxonomies
PR134362084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry