Provider Demographics
NPI:1295059616
Name:GOMEZ SANCHEZ, ARACELI (BA)
Entity type:Individual
Prefix:
First Name:ARACELI
Middle Name:
Last Name:GOMEZ SANCHEZ
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ITURREGUI PLAZA 65 INFANTERIA
Mailing Address - Street 2:SUITE 217-B
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924
Mailing Address - Country:US
Mailing Address - Phone:787-701-2626
Mailing Address - Fax:787-768-8094
Practice Address - Street 1:ITURREGUI PLAZA 65 INFANTERIA
Practice Address - Street 2:SUITE 217-B
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924
Practice Address - Country:US
Practice Address - Phone:787-701-2626
Practice Address - Fax:787-768-8094
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-15
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR00866225X00000X, 225XM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XM0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistMental Health
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist