Healthcare Provider Details

I. General information

NPI: 1649163973
Provider Name (Legal Business Name): TERAPIAME C.P.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2025
Last Update Date: 06/03/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR. 182 CALLE CATALINA MORALES URBANIZACION EL SAPO SUITE 2
YABUCOA PR
00767
US

IV. Provider business mailing address

HC 15 BOX 16018
HUMACAO PR
00791-9746
US

V. Phone/Fax

Practice location:
  • Phone: 787-941-6389
  • Fax:
Mailing address:
  • Phone: 787-941-6389
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: GISELLE VAZQUEZ
Title or Position: ADMINISTRADOR
Credential: ATO,SLPA
Phone: 787-941-6389