Provider Demographics
NPI:1891454203
Name:OUR PUZZLE LLC
Entity Type:Organization
Organization Name:OUR PUZZLE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REINALDO
Authorized Official - Middle Name:
Authorized Official - Last Name:BERROA
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:954-593-5521
Mailing Address - Street 1:11601 BISCAYNE BLVD STE 302
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-3151
Mailing Address - Country:US
Mailing Address - Phone:954-593-5521
Mailing Address - Fax:
Practice Address - Street 1:300 BUTLER ST
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-6006
Practice Address - Country:US
Practice Address - Phone:130-589-6575
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-13
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty