Provider Demographics
NPI:1811272107
Name:SANABRIA, AMARILYS (RDH)
Entity type:Individual
Prefix:MRS
First Name:AMARILYS
Middle Name:
Last Name:SANABRIA
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:544 ALDEBARAN STREET
Mailing Address - Street 2:SUITE #202 ALTAMIRA
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00920
Mailing Address - Country:US
Mailing Address - Phone:787-783-5390
Mailing Address - Fax:787-783-2211
Practice Address - Street 1:544 ALDEBARAN STREET
Practice Address - Street 2:SUITE #202 ALTAMIRA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00920
Practice Address - Country:US
Practice Address - Phone:787-783-5390
Practice Address - Fax:787-783-2211
Is Sole Proprietor?:No
Enumeration Date:2011-10-18
Last Update Date:2011-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR164124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist