Organization
PUENTE AMOR CENTRO DE TERAPIAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN BAEZ MENDEZ TO (PRESIDENT)
(787) 608-2781
Entity
Organization
Contact information
Practice address
7 CALLE ANTONIO R BARCELO, TOA ALTA, PR 00953-2517
(787) 608-2781
Mailing address
RR 5 BOX 9160, TOA ALTA, PR 00953-9215
(787) 608-2781
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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