Healthcare Provider Details

I. General information

NPI: 1437006954
Provider Name (Legal Business Name): EARLY THERAPY 4U LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2026
Last Update Date: 03/13/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 307 KM 0.1 BO PEDERNALES
CABO ROJO PR
00623
US

IV. Provider business mailing address

PO BOX 1833
BOQUERON PR
00622-1833
US

V. Phone/Fax

Practice location:
  • Phone: 939-608-3869
  • Fax:
Mailing address:
  • Phone: 939-608-3869
  • 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: ROSE C NIEVES
Title or Position: AUTHORIZED OFFICIAL
Credential: TO
Phone: 939-608-3869