Provider Demographics
NPI:1851613111
Name:CENTRO DE TERAPIAS HABLA
Entity Type:Organization
Organization Name:CENTRO DE TERAPIAS HABLA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TERAPISTA DEL HABLA Y LENGUAJE
Authorized Official - Prefix:MISS
Authorized Official - First Name:ROSA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:THL
Authorized Official - Phone:787-646-7674
Mailing Address - Street 1:CALLE1, URB. SANFELIZ
Mailing Address - Street 2:A-1
Mailing Address - City:COROZAL
Mailing Address - State:PR
Mailing Address - Zip Code:00783
Mailing Address - Country:US
Mailing Address - Phone:787-859-2879
Mailing Address - Fax:
Practice Address - Street 1:CALLE 1, A-1, URB. SANFELIZ
Practice Address - Street 2:
Practice Address - City:COROZAL
Practice Address - State:PR
Practice Address - Zip Code:00783
Practice Address - Country:US
Practice Address - Phone:787-859-2879
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-26
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15012355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language AssistantGroup - Multi-Specialty