=====================================================
General NPI Number Information
=====================================================
NPI Number | 1881347664
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | APRENDAMOS SERVICIOS EDUCATIVOS Y TERAPEUTICOS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/01/2022
-----------------------------------------------------
Last Update Date | 02/01/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | URB. VILLAS DE RIO GRANDE A6 CALLE CARLOS GARCIA DE LA NOXEDA
-----------------------------------------------------
City | RIO GRANDE
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00745
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 939-428-4040
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | URB. VILLAS DE RIO GRANDE A6 CALLE CARLOS GARCIA DE LA NOXEDA
-----------------------------------------------------
City | RIO GRANDE
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00745
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 939-428-4040
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | ARIANA RIVERA-FIGUEROA
-----------------------------------------------------
Credential | MBA
-----------------------------------------------------
Telephone | 939-428-4040
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM1300X
-----------------------------------------------------
Taxonomy Name | Multi-Specialty Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------