MEDICARE: LOADING LEARNING IN PROGRESS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist
2	2355S0801X	Speech-Language Assistant

General Provider Information

NPI Number	:	1386292555
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOADING LEARNING IN PROGRESS LLC

Provider Business Mailing Address
First Line	:	2YR56 VIA 20
Second Line	:
City	:	CAROLINA
State	:	PR
Zip	:	00983-4716
Country	:	US
Telephone Number	:	787-215-1150
Fax Number	:

Provider Business Practice Location Address
First Line	:	2YR56 VIA 20
Second Line	:
City	:	CAROLINA
State	:	PR
Zip	:	00983-4716
Country	:	US
Telephone Number	:	787-215-1150
Fax Number	:

Authorized Official
Title or Position	:	TERAPISTA DEL HABLA-LENGUAJE
Name	:	NICOLLE RIOS
Credential	:
Telephone Number	:	787-215-1150

Provider Enumeration Date	:	08/29/2019
Last Update Date	:	08/29/2019

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Directions to “LOADING LEARNING IN PROGRESS LLC ” Practice Location

Language	Start Address	Practice Location

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