Provider Demographics
NPI:1730898511
Name:SANCHEZ GONZALEZ, CRISTAL CRISTINA (MASTER'S PSYCHOLOGY)
Entity type:Individual
Prefix:
First Name:CRISTAL
Middle Name:CRISTINA
Last Name:SANCHEZ GONZALEZ
Suffix:
Gender:F
Credentials:MASTER'S PSYCHOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 CALLE PABLO CASALS
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00680-3944
Mailing Address - Country:US
Mailing Address - Phone:787-481-3731
Mailing Address - Fax:
Practice Address - Street 1:136 CALLE PABLO CASALS
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-3944
Practice Address - Country:US
Practice Address - Phone:787-481-3731
Practice Address - Fax:787-831-0444
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-21
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6140103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty