Healthcare Provider Details

I. General information

NPI: 1487322434
Provider Name (Legal Business Name): EXPLORA CENTRO ACADEMICO Y TERAPUTICO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2021
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 CALLE CARAZO
GUAYNABO PR
00969-5717
US

IV. Provider business mailing address

110 CALLE CARAZO
GUAYNABO PR
00969-5717
US

V. Phone/Fax

Practice location:
  • Phone: 787-710-6537
  • Fax:
Mailing address:
  • Phone: 787-710-1600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: SARAI SANTIAGO RODRIGUEZ
Title or Position: PRESIDENTE
Credential:
Phone: 787-633-0220