Healthcare Provider Details

I. General information

NPI: 1386292555
Provider Name (Legal Business Name): LOADING LEARNING IN PROGRESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2019
Last Update Date: 08/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2YR56 VIA 20
CAROLINA PR
00983-4716
US

IV. Provider business mailing address

2YR56 VIA 20
CAROLINA PR
00983-4716
US

V. Phone/Fax

Practice location:
  • Phone: 787-215-1150
  • Fax:
Mailing address:
  • Phone: 787-215-1150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: NICOLLE RIOS
Title or Position: TERAPISTA DEL HABLA-LENGUAJE
Credential:
Phone: 787-215-1150