Provider Demographics
NPI:1790202091
Name:SANCHEZ MORALES, DIANELIS (MA)
Entity Type:Individual
Prefix:
First Name:DIANELIS
Middle Name:
Last Name:SANCHEZ MORALES
Suffix:
Gender:F
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:HC 645 BOX 6421
Mailing Address - Street 2:
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976-9750
Mailing Address - Country:US
Mailing Address - Phone:787-674-9694
Mailing Address - Fax:
Practice Address - Street 1:40 CARR 165 BUCHANAN OFFICE CENTER
Practice Address - Street 2:INTELLIGENCE FORECASTING CORP SUITE 302 FLOOR 3
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00968
Practice Address - Country:US
Practice Address - Phone:787-523-1712
Practice Address - Fax:787-523-1717
Is Sole Proprietor?:No
Enumeration Date:2017-08-28
Last Update Date:2017-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI5873103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling