Healthcare Provider Details

I. General information

NPI: 1073303228
Provider Name (Legal Business Name): CLINICA DE TERAPIA TORNASOL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2025
Last Update Date: 05/10/2025
Certification Date: 05/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10-15 AVE AGUAS BUENAS
BAYAMON PR
00959-6611
US

IV. Provider business mailing address

10-15 AVE AGUAS BUENAS
BAYAMON PR
00959-6611
US

V. Phone/Fax

Practice location:
  • Phone: 787-705-5099
  • Fax:
Mailing address:
  • Phone: 787-705-5099
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. EDNEIRA MENDEZ-SALAS
Title or Position: SPEECH LANGUAGE PATHOLOGIST/OWNER
Credential: MS.,SLP
Phone: 787-453-2300