Healthcare Provider Details

I. General information

NPI: 1598557100
Provider Name (Legal Business Name): AM THERAPEUTIC SERVICE FOR CHILDREN, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2025
Last Update Date: 05/20/2025
Certification Date: 05/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR. 493 KM 0.9 BO. CARRIZALES
HATILLO PR
00659-1531
US

IV. Provider business mailing address

URB. LOS AIRES 127 CALLE NEON
ARECIBO PR
00612
US

V. Phone/Fax

Practice location:
  • Phone: 939-308-4656
  • Fax:
Mailing address:
  • Phone: 939-308-4656
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: ARLENE J MAESTRE RIVERA
Title or Position: PRESIDENTE
Credential:
Phone: 939-308-4656