Healthcare Provider Details

I. General information

NPI: 1134930803
Provider Name (Legal Business Name): THERAPEUKIDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2025
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 AVE DEGETAU URB. BONEVILLE HEIGHTS
CAGUAS PR
00725-2366
US

IV. Provider business mailing address

HC 3 BOX 16053
AGUAS BUENAS PR
00703-8371
US

V. Phone/Fax

Practice location:
  • Phone: 939-383-4834
  • Fax:
Mailing address:
  • Phone: 787-944-8044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NITZELY HERNANDEZ
Title or Position: PRESIDENT
Credential:
Phone: 787-944-8044