Healthcare Provider Details
I. General information
NPI: 1205556941
Provider Name (Legal Business Name): DULCES PALABRAS CENTRO TERAPEUTICO LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/01/2022
Last Update Date: 09/01/2022
Certification Date: 08/22/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
EDIFICIO TROPICAL PLAZA, SUITE #4 CARR. #2 KM 86.2
HATILLO PR
00659
US
IV. Provider business mailing address
55 CALLE MIDAS
ARECIBO PR
00612-3208
US
V. Phone/Fax
- Phone: 787-453-7554
- Fax:
- Phone: 787-453-7554
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LYMARI
COLON MELECIO
Title or Position: OWNER
Credential: SLP-CCC
Phone: 787-453-7554