Healthcare Provider Details

I. General information

NPI: 1013825629
Provider Name (Legal Business Name): HABLA Y SANA TU ESPACIO TERAPEUTICO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

EDIFICIO CARDONA CAMPOS AVE ROTARIOS PISO 2
ARECIBO PR
00612-1224
US

IV. Provider business mailing address

HC 3 BOX 3673
FLORIDA PR
00650-9697
US

V. Phone/Fax

Practice location:
  • Phone: 939-241-6991
  • Fax:
Mailing address:
  • Phone: 939-241-6991
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: GLORIMELL JIMENEZ SANTIAGO
Title or Position: PRESIDENT
Credential:
Phone: 939-241-6991