Provider Demographics
NPI:1811637382
Name:CANDELARIA SANCHEZ, ELVIS (PSYD)
Entity type:Individual
Prefix:DR
First Name:ELVIS
Middle Name:
Last Name:CANDELARIA SANCHEZ
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RR 02 BOX 6292
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00674
Mailing Address - Country:UM
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:90 CALLE ALONDRA
Practice Address - Street 2:65 INFANTERIA, PLAZA 65 SHOPPING CENTER SUITE 30
Practice Address - City:SAN JUAN
Practice Address - State:PUERTO RICO
Practice Address - Zip Code:00924-3254
Practice Address - Country:UM
Practice Address - Phone:787-377-2035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-31
Last Update Date:2024-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7129103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical