NPI Code Details Logo

NPI 1477405017

NPI 1477405017 : CENTRO DE EVALUACION Y TERAPIA EUREKA LLC : TRUJILLO ALTO, PR

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1477405017
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    CENTRO DE EVALUACION Y TERAPIA EUREKA LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/13/2026
-----------------------------------------------------
    Last Update Date     |    02/13/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    CARRETERA 846 KM 9 LOTE 6 CIUDAD UNIVERSITARIA 
-----------------------------------------------------
    City                 |    TRUJILLO ALTO
-----------------------------------------------------
    State                |    PR
-----------------------------------------------------
    Zip                  |    00976
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    787-475-1646
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    URB. PARQUE DEL MONTE MC 37 PASEO EL VALLE 
-----------------------------------------------------
    City                 |    TRUJILLO ALTO
-----------------------------------------------------
    State                |    PR
-----------------------------------------------------
    Zip                  |    00976
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    787-562-6284
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    DIRECTORA
-----------------------------------------------------
    Name                 |     NILSA ESTHER VELEZ 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    787-562-6284
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    103T00000X
-----------------------------------------------------
    Taxonomy Name        |    Psychologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    224Z00000X
-----------------------------------------------------
    Taxonomy Name        |    Occupational Therapy Assistant
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    261Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.