Provider Demographics
NPI:1093443822
Name:ENSENARTE LLC
Entity Type:Organization
Organization Name:ENSENARTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR EJECUTIVO
Authorized Official - Prefix:
Authorized Official - First Name:GISET
Authorized Official - Middle Name:
Authorized Official - Last Name:FIGUEROA LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-501-8735
Mailing Address - Street 1:18 CALLE TAGORE APT 1911
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-4771
Mailing Address - Country:US
Mailing Address - Phone:787-550-8735
Mailing Address - Fax:
Practice Address - Street 1:CARRETERA 8860 KM 1.5 PLAZA MATIENZO SHOPPING CENTER
Practice Address - Street 2:SEGUNDO NIVEL SUITE 3
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976
Practice Address - Country:US
Practice Address - Phone:787-550-8735
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-10
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty