Healthcare Provider Details

I. General information

NPI: 1649904798
Provider Name (Legal Business Name): BEYOND THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2022
Last Update Date: 06/14/2023
Certification Date: 06/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 189 KM 6.4 ESQ. CALLE #5 VILLA MARINA SEGUNDO PISO LOCALES 17 Y 18
GURABO PR
00778-4202
US

IV. Provider business mailing address

SABANERA DEL RIO 499 CAMINO MIRAMONTES
GURABO PR
00778
US

V. Phone/Fax

Practice location:
  • Phone: 787-364-5270
  • Fax: 787-364-5270
Mailing address:
  • Phone: 787-364-5270
  • Fax: 787-364-5270

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: YANICE GARCIA TORRES
Title or Position: PRESIDENTA
Credential:
Phone: 787-364-5270