Healthcare Provider Details

I. General information

NPI: 1407647076
Provider Name (Legal Business Name): COOPERATIVA DE TERAPEUTAS ASOCIADOS DE PUERTO RICO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2025
Last Update Date: 05/14/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 753 KM 0.1 SECTOR CUATRO CALLES
ARROYO PR
00714-0000
US

IV. Provider business mailing address

PO BOX 813
ARROYO PR
00714-0813
US

V. Phone/Fax

Practice location:
  • Phone: 787-686-7995
  • Fax:
Mailing address:
  • Phone: 787-686-7995
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: YARISMARIEL ORTIZ
Title or Position: PRESIDENTA
Credential:
Phone: 787-686-7995