Organization
ENCUENTRO HUELLITAS LLC
Active
Organization
ENCUENTRO HUELLITAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA D LOPEZ (PRESIDENT)
(787) 274-0036
Entity
Organization
Contact information
Practice address
88 CALLE MAYAGUEZ, SAN JUAN, PR 00917-5116
(787) 274-0036
Mailing address
PO BOX 363669, SAN JUAN, PR 00936-3669
(787) 274-0036
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
2326
PR
224Z00000X
Occupational Therapy Assistant
—
—
2251P0200X
Pediatric Physical Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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