Provider Demographics
NPI:1407303381
Name:MINI'S STEPS
Entity Type:Organization
Organization Name:MINI'S STEPS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PATOLOGA DEL HABLA Y LENGUAJE
Authorized Official - Prefix:MS
Authorized Official - First Name:MINERLIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:COLON
Authorized Official - Suffix:
Authorized Official - Credentials:MS,PHL
Authorized Official - Phone:787-934-5362
Mailing Address - Street 1:4250 CARR 2
Mailing Address - Street 2:
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00693-4128
Mailing Address - Country:US
Mailing Address - Phone:787-934-5362
Mailing Address - Fax:787-854-2538
Practice Address - Street 1:4250 CARR 2
Practice Address - Street 2:
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693
Practice Address - Country:US
Practice Address - Phone:787-934-5362
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-08
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2011261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech