Provider Demographics
NPI:1922391002
Name:SANCHEZ-CESTERO, JOVETTE DENISE (PHD)
Entity Type:Individual
Prefix:MRS
First Name:JOVETTE
Middle Name:DENISE
Last Name:SANCHEZ-CESTERO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1479 ASHFORD AVE., CONDADO DEL MAR BLDG.
Mailing Address - Street 2:SUITE 6
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907
Mailing Address - Country:US
Mailing Address - Phone:787-616-6234
Mailing Address - Fax:
Practice Address - Street 1:COND ASHFORD PLZ
Practice Address - Street 2:LOBBY
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00911-1102
Practice Address - Country:US
Practice Address - Phone:787-616-6234
Practice Address - Fax:787-721-0721
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-23
Last Update Date:2011-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3676103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist