Provider Demographics
NPI:1992509293
Name:SANCHEZ, KATHYRIA (MHSN, RDN, LND)
Entity type:Individual
Prefix:
First Name:KATHYRIA
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:
Credentials:MHSN, RDN, LND
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 22843
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00931-2843
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:200 CALLE CUPEY GDNS STE 11W
Practice Address - Street 2:
Practice Address - City:CUPEY
Practice Address - State:PR
Practice Address - Zip Code:00926-7366
Practice Address - Country:US
Practice Address - Phone:787-760-4425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-03
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2226133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered