Provider Demographics
NPI:1649060179
Name:IBARRA SANCHEZ, KIRSYS (MA)
Entity type:Individual
Prefix:MISS
First Name:KIRSYS
Middle Name:
Last Name:IBARRA SANCHEZ
Suffix:
Gender:
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:CALLE 17 AQ 42
Mailing Address - Street 2:REPARTO VALENCIA
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959
Mailing Address - Country:US
Mailing Address - Phone:787-610-6663
Mailing Address - Fax:
Practice Address - Street 1:CALLE 17 AQ 42
Practice Address - Street 2:REPARTO VALENCIA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-610-6663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2535101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional