Healthcare Provider Details

I. General information

NPI: 1013891282
Provider Name (Legal Business Name): CLINICA TOP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2025
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

EDIFICIO CHELO CALLE MARIA MONAGAS #5
ANASCO PR
00610
US

IV. Provider business mailing address

HC 60 BOX 29173
AGUADA PR
00602-9225
US

V. Phone/Fax

Practice location:
  • Phone: 787-826-3525
  • Fax:
Mailing address:
  • Phone: 787-619-1044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: YADZIA M AVILES VELEZ
Title or Position: PRESIDENT
Credential: OT
Phone: 787-619-1044