Healthcare Provider Details

I. General information

NPI: 1285315341
Provider Name (Legal Business Name): HEROES THERAPY CENTER, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2023
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MARGINAL CARR. #2 KM. 84.7 BO. CARRIZALES
HATILLO PR
00695
US

IV. Provider business mailing address

VISTA AZUL CALLE 23 Y-2
ARECIBO PR
00612
US

V. Phone/Fax

Practice location:
  • Phone: 787-408-4093
  • Fax:
Mailing address:
  • Phone: 787-408-4093
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: LORENA MERCADO HEREDIA
Title or Position: PRESIDENT
Credential: OT
Phone: 787-408-4093