Provider Demographics
NPI:1841512290
Name:SANCHEZ, BERNADETTE (MS-A)
Entity type:Individual
Prefix:
First Name:BERNADETTE
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:MS-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:JJ27 CALLE MIRAMAR
Mailing Address - Street 2:DORADO DEL MAR
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-2317
Mailing Address - Country:US
Mailing Address - Phone:787-525-1377
Mailing Address - Fax:
Practice Address - Street 1:JJ27 CALLE MIRAMAR
Practice Address - Street 2:DORADO DEL MAR
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646-2317
Practice Address - Country:US
Practice Address - Phone:787-525-1377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-25
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR593231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist