Provider Demographics
NPI:1689560484
Name:CENTRO AVANZADO PATOLOGIA Y TERAPIA DEL HABLA INC.
Entity type:Organization
Organization Name:CENTRO AVANZADO PATOLOGIA Y TERAPIA DEL HABLA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTORA
Authorized Official - Prefix:MRS
Authorized Official - First Name:LUZ
Authorized Official - Middle Name:AIDA
Authorized Official - Last Name:CORREA
Authorized Official - Suffix:
Authorized Official - Credentials:MS PHL
Authorized Official - Phone:787-379-2349
Mailing Address - Street 1:HC 1 BOX 17126
Mailing Address - Street 2:
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00791-9030
Mailing Address - Country:US
Mailing Address - Phone:787-379-2349
Mailing Address - Fax:
Practice Address - Street 1:55 CALLE MUNOZ MARIN STE A
Practice Address - Street 2:
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791-3646
Practice Address - Country:US
Practice Address - Phone:787-379-2349
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty