Healthcare Provider Details

I. General information

NPI: 1639657232
Provider Name (Legal Business Name): THERAPY SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2018
Last Update Date: 08/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

53 CALLE TAPIA
SAN JUAN PR
00911
US

IV. Provider business mailing address

PO BOX 6115
SAN JUAN PR
00914-6115
US

V. Phone/Fax

Practice location:
  • Phone: 787-425-9400
  • Fax:
Mailing address:
  • Phone: 787-425-9400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number624
License Number StatePR
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number4093
License Number StatePR

VIII. Authorized Official

Name: MRS. PROVI RODRIGUEZ
Title or Position: ADMINISTRATIVE ASSISTANT
Credential:
Phone: 787-425-9400