Provider Demographics
NPI:1003546490
Name:FUTURE STARS THERAPY PSC
Entity Type:Organization
Organization Name:FUTURE STARS THERAPY PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRST OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:CAMIS
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:787-930-8580
Mailing Address - Street 1:URB. ESTANCIAS DE LOS ARTESNOS
Mailing Address - Street 2:CALLE MADERA 433
Mailing Address - City:LAS PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00771
Mailing Address - Country:US
Mailing Address - Phone:787-930-8580
Mailing Address - Fax:
Practice Address - Street 1:URB. ESTANCIAS DE LOS ARTESANOS
Practice Address - Street 2:CALLE MADERA A5
Practice Address - City:LAS PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00771
Practice Address - Country:US
Practice Address - Phone:787-930-8580
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-16
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitationGroup - Multi-Specialty
No2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language AssistantGroup - Multi-Specialty