Provider Demographics
NPI:1588220115
Name:INSTITUTO COGNOSIS L3C
Entity Type:Organization
Organization Name:INSTITUTO COGNOSIS L3C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:F
Authorized Official - Last Name:RIVERA HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:787-779-9306
Mailing Address - Street 1:52 CALLE PADIAL
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-3555
Mailing Address - Country:US
Mailing Address - Phone:787-779-9306
Mailing Address - Fax:
Practice Address - Street 1:52 PADIAL
Practice Address - Street 2:ESQUINA CALLE JIMENEZ SICARDO
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-3555
Practice Address - Country:US
Practice Address - Phone:787-779-9306
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-20
Last Update Date:2019-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty