Healthcare Provider Details

I. General information

NPI: 1033716121
Provider Name (Legal Business Name): CLINICA TERAPEUTICA COMUNICARTE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2020
Last Update Date: 05/31/2024
Certification Date: 05/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 CARR 2. SUITE #102
BARCELONETA PR
00617-3240
US

IV. Provider business mailing address

URB. LAS VEGAS D2 CALLE 2
FLORIDA PR
00650
US

V. Phone/Fax

Practice location:
  • Phone: 787-225-5361
  • Fax:
Mailing address:
  • Phone: 787-225-5361
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: CYNTIA M. RODRIGUEZ -TORRES
Title or Position: PRESIDENT
Credential:
Phone: 787-225-5361