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NPI Code Detail

MEDICARE: CENTRO ESPECIALIZADO EN TERAPIAS

MEDICARE: CENTRO ESPECIALIZADO EN TERAPIAS
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
1103TS0200XSchool Psychologist
22251P0200XPediatric Physical Therapist
3235Z00000XSpeech-Language Pathologist
4225XP0200XPediatric Occupational Therapist

General Provider Information

NPI Number : 1700129350
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTRO ESPECIALIZADO EN TERAPIAS
Provider Business Mailing Address
First Line : URB. PAISAJES DE DORADO
Second Line : 91 CALLE JACARANDA
City : SAN JUAN
State : PUERTO RICO
Zip : 00921
Country : UM
Telephone Number : 787-792-6702
Fax Number :
Provider Business Practice Location Address
First Line : 1255 AVE AMERICO MIRANDA
Second Line :
City : SAN JUAN
State : PR
Zip : 00921-1619
Country : US
Telephone Number : 787-792-6702
Fax Number :
Authorized Official
Title or Position : OWNER/PRESIDENT
Name : MS. DELMA I SANTOS
Credential : SLP, OTR/L
Telephone Number : 787-438-6588
Provider Enumeration Date : 04/02/2013
Last Update Date : 04/02/2013

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Directions to “CENTRO ESPECIALIZADO EN TERAPIAS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.