Healthcare Provider Details

I. General information

NPI: 1982388476
Provider Name (Legal Business Name): NOVO TEMPO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2023
Last Update Date: 06/15/2023
Certification Date: 06/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 CALLE BETANCES
CAGUAS PR
00725-3708
US

IV. Provider business mailing address

PO BOX 15
CAGUAS PR
00726-0015
US

V. Phone/Fax

Practice location:
  • Phone: 787-585-4574
  • Fax:
Mailing address:
  • Phone: 787-585-4574
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER MONTANEZ JURADO
Title or Position: PRESIDENT
Credential: MPSY
Phone: 787-585-4574