Healthcare Provider Details

I. General information

NPI: 1477405017
Provider Name (Legal Business Name): CENTRO DE EVALUACION Y TERAPIA EUREKA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2026
Last Update Date: 02/13/2026
Certification Date: 02/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARRETERA 846 KM 9 LOTE 6 CIUDAD UNIVERSITARIA
TRUJILLO ALTO PR
00976
US

IV. Provider business mailing address

URB. PARQUE DEL MONTE MC 37 PASEO EL VALLE
TRUJILLO ALTO PR
00976
US

V. Phone/Fax

Practice location:
  • Phone: 787-475-1646
  • Fax:
Mailing address:
  • Phone: 787-562-6284
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: NILSA ESTHER VELEZ
Title or Position: DIRECTORA
Credential:
Phone: 787-562-6284