Healthcare Provider Details

I. General information

NPI: 1245096254
Provider Name (Legal Business Name): ACUARELA THERAPY CENTER CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2024
Last Update Date: 02/27/2024
Certification Date: 02/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 2 KM 57.2 BO. FLORIDA AFUERA
BARCELONETA PR
00617
US

IV. Provider business mailing address

N2 CALLE D
VEGA BAJA PR
00693-4036
US

V. Phone/Fax

Practice location:
  • Phone: 939-451-8696
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
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: MRS. JENILEE SOLER JIMENEZ
Title or Position: PRESIDENT
Credential: ADMINISTRATOR
Phone: 939-451-8696