# TERAPIAS AZUL CELESTE

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

## Provider details

- **NPI number:** 1639677628
- **Authorized official:** LESLYNETTE RAMOS-IRIZARRY M.A. (PRESIDENT)
- **Authorized official phone:** (787) 391-6951

## Contact information

- **Practice address:** CARR. 695 KM 1.6 URB. DORAVILLE BO. HIGUILLAR, DORADO, PR 00646
- **Practice address phone:** (787) 391-6951
- **Mailing address:** URB. SANTA RITA CALLE MARIANA BRACETTI \#24 BAJOS, SAN JUAN, PR 00925
- **Mailing address phone:** (787) 391-6951

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 01/25/2018
- **Last updated:** 01/25/2018