Healthcare Provider Details
I. General information
NPI: 1275790214
Provider Name (Legal Business Name): SPEECH R' US CORP.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/19/2008
Last Update Date: 01/14/2025
Certification Date: 01/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
CARR 345, KM 2.0 PLAZA MONSERRATE II, LOCAL 5-6
HORMIGUEROS PR
00660
US
IV. Provider business mailing address
54 PUERTA DEL COMBATE
BOQUERON PR
00622-9630
US
V. Phone/Fax
- Phone: 787-423-2481
- Fax:
- Phone: 939-299-3053
- 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 | 103TC2200X |
| Taxonomy | Clinical Child & Adolescent Psychologist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2251P0200X |
| Taxonomy | Pediatric Physical Therapist |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225XF0002X |
| Taxonomy | Feeding, Eating & Swallowing Occupational Therapist |
| License Number | |
| License Number State | |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225XP0200X |
| Taxonomy | Pediatric Occupational Therapist |
| License Number | |
| License Number State | |
| # 7 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QH0700X |
| Taxonomy | Hearing and Speech Clinic/Center |
| License Number | 759 |
| License Number State | PR |
VIII. Authorized Official
Name: MS.
MIRELIS
AROCHO
Title or Position: SPEECH LANGUAGE PATHOLOGIST
Credential: M.S
Phone: 787-423-2481