Healthcare Provider Details

I. General information

NPI: 1144004797
Provider Name (Legal Business Name): THERA & PLAY LEARNING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2023
Last Update Date: 08/25/2023
Certification Date: 08/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 CALLE GEORGETTI
BARCELONETA PR
00617-2788
US

IV. Provider business mailing address

URB LAS PRADERAS 1164 CALLE ESMERALDA
BARCELONETA PR
00617-2963
US

V. Phone/Fax

Practice location:
  • Phone: 939-642-5626
  • Fax:
Mailing address:
  • Phone: 939-642-5626
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
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: NATALIA N ZAMORANO AROCHO
Title or Position: DIRECTOR
Credential:
Phone: 939-642-5626