MEDICARE: STO, INC.

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
1	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1346100294
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STO, INC.

Provider Business Mailing Address
First Line	:	114 PASEO DEL INDIO, URB PORTALES
Second Line	:
City	:	LAS PIEDRAS
State	:	PR
Zip	:	00791
Country	:	US
Telephone Number	:	787-449-0061
Fax Number	:

Provider Business Practice Location Address
First Line	:	28 CALLE JOSE CELSO BARBOSA
Second Line	:
City	:	LAS PIEDRAS
State	:	PR
Zip	:	00791
Country	:	US
Telephone Number	:	787-449-0061
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENTA
Name	:	GLORIA H M
Credential	:	OTL
Telephone Number	:	787-449-0061

Provider Enumeration Date	:	11/13/2025
Last Update Date	:	11/13/2025

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