Provider Demographics
NPI:1881446870
Name:SANCHEZ, MARIE KAYLA
Entity type:Individual
Prefix:MISS
First Name:MARIE
Middle Name:KAYLA
Last Name:SANCHEZ
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 1:606 AVENIDA TITO CASTRO SUIT 201 LA RAMBLA PLAZA
Mailing Address - Street 2:SUIT 201 LA RAMBLA PLAZA
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00730
Mailing Address - Country:US
Mailing Address - Phone:787-843-4510
Mailing Address - Fax:
Practice Address - Street 1:606 AVENIDA TITO CASTRO SUIT 201 LA RAMBLA PLAZA
Practice Address - Street 2:SUIT 201 LA RAMBLA PLAZA
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00730
Practice Address - Country:US
Practice Address - Phone:787-843-4510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator