Healthcare Provider Details

I. General information

NPI: 1891689451
Provider Name (Legal Business Name): NEURO FEEDING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2025
Last Update Date: 06/06/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

533 AVE ESCORIAL
SAN JUAN PR
00920-4764
US

IV. Provider business mailing address

URB. LAS QUINTAS DE ALTAMIRA 78 CALLE GERONA
CANOVANAS PR
00729-9004
US

V. Phone/Fax

Practice location:
  • Phone: 939-903-9554
  • Fax:
Mailing address:
  • Phone: 939-903-9554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: LEYDA ANQUEIRA DELGADO
Title or Position: PRESIDENTA
Credential: PHL
Phone: 939-903-9554