Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 00866 | PR |
Y | 225XM0800X | Mental Health | 00866 | PR |
NPI | 1295059616 |
---|---|
Provider Name | Araceli Gomez Sanchez |
First Address | San Juan, PR 00924 |
Second Address | San Juan, PR 00924 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2010 |
Last Update Date | 15/03/2010 |