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NPI Code Detail

MEDICARE: MIS AMIGOS DE SINDROME DE DOWN, INC.

MEDICARE: MIS AMIGOS DE SINDROME DE DOWN, INC.
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
1103T00000XPsychologist
2208100000XPhysical Medicine & Rehabilitation Physician
3225X00000XOccupational Therapist
4305R00000XPreferred Provider Organization
5235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1386434314
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIS AMIGOS DE SINDROME DE DOWN, INC.
Provider Business Mailing Address
First Line : PO BOX 79671
Second Line :
City : CAROLINA
State : PR
Zip : 00984-9671
Country : US
Telephone Number : 787-533-0923
Fax Number :
Provider Business Practice Location Address
First Line : 1207 MARGINAL VILLAMAR # 6
Second Line :
City : CAROLINA
State : PR
Zip : 00979-6345
Country : US
Telephone Number : 787-436-4585
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : YOLANDA RIVERA
Credential :
Telephone Number : 787-223-2679
Provider Enumeration Date : 05/12/2025
Last Update Date : 05/12/2025

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