Healthcare Provider Details

I. General information

NPI: 1669263778
Provider Name (Legal Business Name): CHIQUIRIMUNDI INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2025
Last Update Date: 05/16/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB INDUSTRIAL REPARADA 2190 PONCE BY PASS
PONCE PR
00716
US

IV. Provider business mailing address

URB INDUSTRIAL REPARADA 2190 PONCE BY PASS
PONCE PR
00716
US

V. Phone/Fax

Practice location:
  • Phone: 787-844-4628
  • Fax:
Mailing address:
  • Phone: 787-844-4628
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2081P0010X
TaxonomyPediatric Rehabilitation Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: JEANETTE V TORRES SERRANT
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 787-844-4228