Healthcare Provider Details

I. General information

NPI: 1427825314
Provider Name (Legal Business Name): CHIQUIRIMUNDI MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2023
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB INDUSTRIAL REPARADA 2188 LOCAL A SUITE A PONCE BY PASS
PONCE PR
00716
US

IV. Provider business mailing address

2190 PONCE BY PASS URB INDUSTRIAL REPARADA
PONCE PR
00717
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 Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: JEANETTE V TORRES SERRANT
Title or Position: OWNER/PRESIDENT
Credential: CCC-SLP
Phone: 787-844-4628