Provider Demographics
NPI:1780313304
Name:SANCHEZ LAUREANO, JOANNE K (PHL)
Entity type:Individual
Prefix:
First Name:JOANNE
Middle Name:K
Last Name:SANCHEZ LAUREANO
Suffix:
Gender:F
Credentials:PHL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 142076
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614-2076
Mailing Address - Country:US
Mailing Address - Phone:939-273-7555
Mailing Address - Fax:
Practice Address - Street 1:CARR. 493 KM 0.9
Practice Address - Street 2:BO. CARRIZALES
Practice Address - City:HATILLO
Practice Address - State:PR
Practice Address - Zip Code:00659
Practice Address - Country:US
Practice Address - Phone:939-273-7555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-08
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR6001075OtherDRIVERS LICENSE