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NPI Code Detail

MEDICARE: EDUCA GROUP

MEDICARE: EDUCA GROUP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QI0500XInfusion Therapy Clinic/Center
2261QM0850XAdult Mental Health Clinic/Center
3261QP2000XPhysical Therapy Clinic/Center
4261QR0200XRadiology Clinic/Center
5293D00000XPhysiological Laboratory
62085U0001XDiagnostic Ultrasound Physician
7225X00000XOccupational Therapist
82355S0801XSpeech-Language Assistant
9235Z00000XSpeech-Language Pathologist
102471V0105XVascular Sonography Radiologic Technologist
11261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1073054060
Entity Type Code : Organization
Provider Name (Legal Business Name) : EDUCA GROUP
Provider Business Mailing Address
First Line : 5689 CALLE PARQUE
Second Line : BRISAS DEL ROSARIO
City : VEGA BAJA
State : PR
Zip : 00693
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5689 CALLE PARQUE
Second Line : BRISAS DEL ROSARIO
City : VEGA BAJA
State : PR
Zip : 00693
Country : US
Telephone Number : 787-453-8855
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : ANGEL HERNANDEZ
Credential :
Telephone Number : 787-453-8855
Provider Enumeration Date : 03/10/2017
Last Update Date : 06/20/2024

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Directions to “EDUCA GROUP ” Practice Location

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