MEDICARE: PASO A PASO CENTRO INTERDISCIPLINARIO DEL APRENDIZAJE, INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	225100000X	Physical Therapist
2	225X00000X	Occupational Therapist
3	235Z00000X	Speech-Language Pathologist
4	103T00000X	Psychologist

General Provider Information

NPI Number	:	1538032073
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PASO A PASO CENTRO INTERDISCIPLINARIO DEL APRENDIZAJE, INC

Provider Business Mailing Address
First Line	:	PO BOX 6777
Second Line	:
City	:	BAYAMON
State	:	PR
Zip	:	00960-6777
Country	:	US
Telephone Number	:	787-638-3145
Fax Number	:

Provider Business Practice Location Address
First Line	:	51-59 CALLE MARGINAL
Second Line	:
City	:	BAYAMON
State	:	PR
Zip	:	00959-6837
Country	:	US
Telephone Number	:	787-638-3145
Fax Number	:

Authorized Official
Title or Position	:	PSICOLOGA
Name	:	DR. MANUELA JOSEFA GONZALEZ
Credential	:
Telephone Number	:	787-778-2446

Provider Enumeration Date	:	09/29/2025
Last Update Date	:	09/29/2025

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