Provider Demographics
NPI:1396841789
Name:HABLEMOS CENTRO DE HABILITACION Y REHABILITACION DEL HABLA-LENGUAJECRL
Entity Type:Organization
Organization Name:HABLEMOS CENTRO DE HABILITACION Y REHABILITACION DEL HABLA-LENGUAJECRL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST PRESIDE
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:QUINTERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-739-4814
Mailing Address - Street 1:1768 ALABAMA
Mailing Address - Street 2:URB SAN GERARDO
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-739-4814
Mailing Address - Fax:787-739-4814
Practice Address - Street 1:C BARCELO 55
Practice Address - Street 2:
Practice Address - City:CIDRA
Practice Address - State:PR
Practice Address - Zip Code:00739
Practice Address - Country:US
Practice Address - Phone:787-739-4814
Practice Address - Fax:787-739-4814
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-15
Last Update Date:2013-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR863225X00000X
PR561235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty