Provider Demographics
NPI:1225653132
Name:INSTITUTO MUSICOTERAPEUTICO DE PUERTO RICO
Entity Type:Organization
Organization Name:INSTITUTO MUSICOTERAPEUTICO DE PUERTO RICO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ-MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, MT-BC, NMT
Authorized Official - Phone:939-881-5564
Mailing Address - Street 1:URB TURABO GARDENS F-7 CALLE 38
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727
Mailing Address - Country:US
Mailing Address - Phone:939-881-5564
Mailing Address - Fax:
Practice Address - Street 1:52 CALLE BETANCES
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-3508
Practice Address - Country:US
Practice Address - Phone:939-881-5564
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-16
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Single Specialty
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitationGroup - Single Specialty