| Doctor Name: | DR. SANDRA I RALAT |
| NPI Number: | 1073773669 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | 1253 |
| Business Practice Address: | C8 Calle 4 Urb Montebello Estates Trujillo Alto, PR - 009762424 |
| Business Phone Number: | 7877483713 |
| Business Fax Number: | 7877483713 |
| Mailing Address: | C8 Calle 4, Urb Montebello Estates TRUJILLO ALTO |
| State: | PR |
| Postal Code: | 009762424 |
| Phone Number: | 7877483713 |
| Fax Number: | 7877483713 |
| NPI Enumeration Date: | 06/17/2008 |
| NPI Last Update Date: | 06/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 1253 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |