# CENTRO DE EVALUACION E INTERVENCION PASOSM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588998660
- **Authorized official:** MICHELLE MARIE NAREDO (DIRECTOR)
- **Authorized official phone:** (787) 747-1374

## Contact information

- **Practice address:** AVE. RAFAEL CORDERO FINAL, ESQ. TROCHE, PLAZA DE SALUD SANOS, CAGUAS, PR 00725
- **Practice address phone:** (787) 747-1374
- **Practice address fax:** (787) 745-0549
- **Mailing address:** SAN JOVINO \#421, URB. SAGRADO CORAZON, SAN JUAN, PR 00926
- **Mailing address phone:** (787) 747-1374
- **Mailing address fax:** (787) 745-0549

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 2081P0010X | Pediatric Rehabilitation Medicine Physician | — | NULL | Yes |
| 2081P0010X | Pediatric Rehabilitation Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/23/2009
- **Last updated:** 09/23/2009