Organization
CENTRO TERAMAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AIXA M ROMAN MPH, OTL (DIRECTORA)
(787) 646-8145
Entity
Organization
Contact information
Practice address
51-30 AVE. MAIN, URB. SANTA ROSA, BAYAMON, PR 00956
(787) 646-8145
(787) 269-4401
Mailing address
51-30 AVE MAIN, URB SANTA ROSA, BAYAMON, PR 00956
(787) 646-8145
(787) 269-4401
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1253
PR
103TS0200X
School Psychologist
3659
PR
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
905
PR
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
671
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/09/2016
Last updated
03/09/2016
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