Provider Demographics
NPI:1780012468
Name:CENTRO EDUCATIVO Y TERAPEUTICO MI RINCON DE LOS SUENOS INC
Entity Type:Organization
Organization Name:CENTRO EDUCATIVO Y TERAPEUTICO MI RINCON DE LOS SUENOS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH AND LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:SAAINIT
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHAAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-532-7955
Mailing Address - Street 1:CAMINOS DEL BOSQUE 20
Mailing Address - Street 2:VEREDA LOS LAURELES
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-8900
Mailing Address - Country:US
Mailing Address - Phone:787-532-7055
Mailing Address - Fax:
Practice Address - Street 1:CARR 1 KM 26.9
Practice Address - Street 2:BO RIO CANAS
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-460-9339
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-16
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR688235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty