Healthcare Provider Details

I. General information

NPI: 1871129510
Provider Name (Legal Business Name): SPEECH R' US CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2020
Last Update Date: 03/13/2020
Certification Date: 03/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

EDIFICION BIANCA, CARR. 2, KM 14.3
ANASCO PR
00610
US

IV. Provider business mailing address

19 CALLE BETANCES
SABANA GRANDE PR
00637-1844
US

V. Phone/Fax

Practice location:
  • Phone: 939-299-3053
  • Fax:
Mailing address:
  • Phone: 787-423-2481
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XH1300X
TaxonomyHuman Factors Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. MIRELIS AROCHO SALGADO
Title or Position: PRESIDENT
Credential: MS CCC-SLP
Phone: 787-423-2481