Healthcare Provider Details

I. General information

NPI: 1144130774
Provider Name (Legal Business Name): B-PATH PR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB LOS COLOBOS PARK CALLE MALAGUETA #GG15
CAROLINA PR
00987
US

IV. Provider business mailing address

URB LOS COLOBOS PARK CALLE MALAGUETA #GG15
CAROLINA PR
00987
US

V. Phone/Fax

Practice location:
  • Phone: 787-664-1680
  • Fax:
Mailing address:
  • Phone: 787-664-1680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MR. EDWIN DE LOS SANTOS
Title or Position: PRESIDENT
Credential:
Phone: 787-664-1680