Provider Demographics
NPI:1831908979
Name:SANCHEZ PABON, VICK MIREILY
Entity type:Individual
Prefix:DR
First Name:VICK
Middle Name:MIREILY
Last Name:SANCHEZ PABON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1071
Mailing Address - Street 2:
Mailing Address - City:PATILLAS
Mailing Address - State:PR
Mailing Address - Zip Code:00723-1071
Mailing Address - Country:US
Mailing Address - Phone:787-552-1001
Mailing Address - Fax:
Practice Address - Street 1:BO ANCONES VISTAS DE ARROYO CALLE #1
Practice Address - Street 2:B 26
Practice Address - City:ARROYO
Practice Address - State:PR
Practice Address - Zip Code:00714
Practice Address - Country:US
Practice Address - Phone:787-552-1001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-03
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2693103TF0000X, 103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily