Healthcare Provider Details

I. General information

NPI: 1831982362
Provider Name (Legal Business Name): REALIZATE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2025
Last Update Date: 05/27/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARRETERA 115 KM 12.8
RINCON PR
00677
US

IV. Provider business mailing address

PO BOX 1526
RINCON PR
00677-1526
US

V. Phone/Fax

Practice location:
  • Phone: 787-823-2300
  • Fax:
Mailing address:
  • Phone: 787-823-2300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: HECTOR CORTES
Title or Position: PRESIDENT
Credential:
Phone: 787-823-2300