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General NPI Number Information
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NPI Number | 1386434314
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Entity Type | Organization
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Legal Business Name | MIS AMIGOS DE SINDROME DE DOWN, INC.
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Dates
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Enumeration Date | 05/12/2025
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 1207 MARGINAL VILLAMAR # 6
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City | CAROLINA
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State | PR
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Zip | 00979-6345
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Country | US
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Telephone | 787-436-4585
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 79671
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City | CAROLINA
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State | PR
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Zip | 00984-9671
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Country | US
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Telephone | 787-533-0923
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | YOLANDA RIVERA
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Credential |
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Telephone | 787-223-2679
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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