Provider Demographics
NPI:1043517477
Name:SANCHEZ, ZORAYA (MSW)
Entity type:Individual
Prefix:MRS
First Name:ZORAYA
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:D19 CALLE 6
Mailing Address - Street 2:
Mailing Address - City:COAMO
Mailing Address - State:PR
Mailing Address - Zip Code:00769-3507
Mailing Address - Country:US
Mailing Address - Phone:787-590-9873
Mailing Address - Fax:
Practice Address - Street 1:D19 CALLE 6
Practice Address - Street 2:
Practice Address - City:COAMO
Practice Address - State:PR
Practice Address - Zip Code:00769-3507
Practice Address - Country:US
Practice Address - Phone:787-590-9873
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-21
Last Update Date:2011-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR96881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR9609Medicaid
PR9607Medicare UPIN
PR9608Medicare PIN