Provider Demographics
NPI:1629310818
Name:TERAMUNDI
Entity Type:Organization
Organization Name:TERAMUNDI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH PATHOLOGY
Authorized Official - Prefix:
Authorized Official - First Name:JEANNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROLON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-516-7813
Mailing Address - Street 1:PASEOS COSTA DEL SUR CALLE 14 # 389 AGUIRRE
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:PR
Mailing Address - Zip Code:00704
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:CALLE 14 # 389 URBANIZACION PASEOS COSTA DEL SUR
Practice Address - Street 2:AGUIRRE
Practice Address - City:SALINAS
Practice Address - State:PR
Practice Address - Zip Code:00704
Practice Address - Country:US
Practice Address - Phone:787-516-7813
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-26
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR941251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)