Provider Demographics
NPI:1134796741
Name:TERAPIAS INTEGRADAS INDIVIDUALIZADAS PSC
Entity type:Organization
Organization Name:TERAPIAS INTEGRADAS INDIVIDUALIZADAS PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BLANCA
Authorized Official - Middle Name:HAYDEE
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-585-1739
Mailing Address - Street 1:URB. PORTALES DE LAS PIEDRAS
Mailing Address - Street 2:BUZON #118
Mailing Address - City:LAS PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00771
Mailing Address - Country:US
Mailing Address - Phone:787-585-1739
Mailing Address - Fax:
Practice Address - Street 1:AVE. CELLO BARBOSA #237
Practice Address - Street 2:CARR. 1198 KM 21.7 BO. QUEBRADA ARENAS LOCAL A2
Practice Address - City:LAS PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00771
Practice Address - Country:US
Practice Address - Phone:787-585-1739
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-10
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language AssistantGroup - Multi-Specialty