Healthcare Provider Details

I. General information

NPI: 1154780666
Provider Name (Legal Business Name): PRODUCCIONES PEQUENOS PARLANTES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2016
Last Update Date: 02/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 685 KM 2.7 BO TIERRAS NUEVAS
MANATI PR
00674
US

IV. Provider business mailing address

PO BOX 2219
MANATI PR
00674-2219
US

V. Phone/Fax

Practice location:
  • Phone: 787-884-5566
  • Fax:
Mailing address:
  • Phone: 787-884-5566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number332
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number332
License Number StatePR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MRS. ELISA MALDONADO
Title or Position: PRESIDENT
Credential:
Phone: 787-884-5566