Provider Demographics
NPI:1700698800
Name:SANABRIA, DOELIS MARIE (DOCTOR)
Entity type:Individual
Prefix:
First Name:DOELIS
Middle Name:MARIE
Last Name:SANABRIA
Suffix:
Gender:M
Credentials:DOCTOR
Other - Prefix:
Other - First Name:DOELIS
Other - Middle Name:MARIE
Other - Last Name:SANABRIA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DOCTOR PSYCHOLOGIST
Mailing Address - Street 1:MEDICAL CENTER PLAZA 740
Mailing Address - Street 2:AVE HOSTOS SUITE 202
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00682-1540
Mailing Address - Country:US
Mailing Address - Phone:939-645-5995
Mailing Address - Fax:
Practice Address - Street 1:MEDICAL CENTER PLAZA 740
Practice Address - Street 2:AVE HOSTOS SUITE 202
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00682-1540
Practice Address - Country:US
Practice Address - Phone:939-645-5995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-24
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7750103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical