Healthcare Provider Details

I. General information

NPI: 1104761733
Provider Name (Legal Business Name): TWIN THERAPY GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 3 ESQ. ROBERTO CLEMENTE CAROLINA SHOPPING COURT S 205
CAROLINA PR
00985
US

IV. Provider business mailing address

1886 CALLE FRANCISCO QUINDOS
SAN JUAN PR
00926-7734
US

V. Phone/Fax

Practice location:
  • Phone: 787-407-8373
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: PAOLA ROBLES CORDERO
Title or Position: PRESIDENT
Credential: SLP
Phone: 787-407-8373