Healthcare Provider Details

I. General information

NPI: 1972470078
Provider Name (Legal Business Name): AD THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2025
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 107 KM 2.7 FARO 2
AGUADILLA PR
00603
US

IV. Provider business mailing address

PO BOX 4960
AGUADILLA PR
00605-4960
US

V. Phone/Fax

Practice location:
  • Phone: 939-312-9079
  • Fax:
Mailing address:
  • Phone: 939-312-9079
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: DALMA ORIS GONZALEZ ORTIZ
Title or Position: PRESIDENT
Credential:
Phone: 787-646-6643