Healthcare Provider Details

I. General information

NPI: 1790147262
Provider Name (Legal Business Name): EMET, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2016
Last Update Date: 03/03/2021
Certification Date: 02/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE BETANCES #52 2DO PISO
CAGUAS PR
00725
US

IV. Provider business mailing address

I-10 CALLE 6 URB LOS TAMARINDOS
SAN LORENZO PR
00754
US

V. Phone/Fax

Practice location:
  • Phone: 787-363-5103
  • Fax:
Mailing address:
  • Phone: 787-340-5103
  • Fax: 787-961-6086

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number3539
License Number StatePR
# 6
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number3539
License Number StatePR
# 7
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. YAHAIRA DIAZ
Title or Position: DIRECTORA
Credential:
Phone: 787-340-5103