Provider Demographics
NPI:1356917165
Name:R THERAPY LLC
Entity type:Organization
Organization Name:R THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTAYA REYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-395-4857
Mailing Address - Street 1:9225 SW 158TH LN STE C
Mailing Address - Street 2:
Mailing Address - City:PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-1825
Mailing Address - Country:US
Mailing Address - Phone:786-395-4857
Mailing Address - Fax:
Practice Address - Street 1:9225 SW 158TH LN STE C
Practice Address - Street 2:
Practice Address - City:PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-1825
Practice Address - Country:US
Practice Address - Phone:786-395-4857
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-02
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health