Provider Demographics
NPI:1245514256
Name:SALA, ANA CECILIA (PSYD)
Entity type:Individual
Prefix:DR
First Name:ANA
Middle Name:CECILIA
Last Name:SALA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. EL MONTE
Mailing Address - Street 2:3635 CALLE CUMBRE
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716-4829
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF P.R. MEDICAL SCIENCES CAMPUS PSYCHIATRY
Practice Address - Street 2:APARTADO 365067
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00936-5067
Practice Address - Country:US
Practice Address - Phone:787-758-2525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-10
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4061103TC0700X
FLPY8321103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical