Provider Demographics
NPI:1841735073
Name:SANDERS NEVAREZ, DAISY A (MS)
Entity Type:Individual
Prefix:
First Name:DAISY
Middle Name:A
Last Name:SANDERS NEVAREZ
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P1 AVE BOULEVARD NOGAL
Mailing Address - Street 2:QUINTAS DE DORADO
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-4736
Mailing Address - Country:US
Mailing Address - Phone:787-638-7029
Mailing Address - Fax:
Practice Address - Street 1:BO. SABANA CARR 693 KM 14.6
Practice Address - Street 2:
Practice Address - City:VEGA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00692
Practice Address - Country:US
Practice Address - Phone:939-625-7214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-26
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4042235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist