Provider Demographics
NPI:1841640232
Name:SANCHEZ GONZALEZ, GILMA ISABEL
Entity type:Individual
Prefix:
First Name:GILMA
Middle Name:ISABEL
Last Name:SANCHEZ GONZALEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 1 BOX 7555
Mailing Address - Street 2:
Mailing Address - City:VILLALBA
Mailing Address - State:PR
Mailing Address - Zip Code:00766-9858
Mailing Address - Country:US
Mailing Address - Phone:787-314-2405
Mailing Address - Fax:
Practice Address - Street 1:HC 1 BOX 7555
Practice Address - Street 2:
Practice Address - City:VILLALBA
Practice Address - State:PR
Practice Address - Zip Code:00766-9858
Practice Address - Country:US
Practice Address - Phone:787-314-2405
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-15
Last Update Date:2016-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR003677103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical