Healthcare Provider Details

I. General information

NPI: 1780273490
Provider Name (Legal Business Name): ASIAS THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2021
Last Update Date: 08/23/2023
Certification Date: 08/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 CALLE ESTEBAN PADILLA STE 2A
BAYAMON PR
00961-6700
US

IV. Provider business mailing address

CALLE 31 BLQ 33-5 URB. SIERRA BAYAMON
BAYAMON PR
00961
US

V. Phone/Fax

Practice location:
  • Phone: 787-951-7722
  • Fax:
Mailing address:
  • Phone: 787-951-7722
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. YAMILEDI PEREZ MATRILLE
Title or Position: PRESIDENT
Credential: OTL
Phone: 787-951-7722