Provider Demographics
NPI:1932971918
Name:SANCHEZ-CASTRO, ANDREA AMARIS
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:AMARIS
Last Name:SANCHEZ-CASTRO
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 1:129 URB VALLES DE ANASCO
Mailing Address - Street 2:
Mailing Address - City:ANASCO
Mailing Address - State:PR
Mailing Address - Zip Code:00610-9630
Mailing Address - Country:US
Mailing Address - Phone:787-519-1855
Mailing Address - Fax:
Practice Address - Street 1:PROFESSIONAL OFFICES PARK IV
Practice Address - Street 2:997 CLL SAN ROBERTO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-773-6501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-24
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPSI46169390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program