Organization
CLINICA DE TERAPIA PINCELADAS DE AMOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIANA MARIA HERNANDEZ SLP (PRESIDENT)
(787) 370-4532
Entity
Organization
Contact information
Practice address
H-1 CALLE 6, SANTA MONICA, BAYAMON, PR 00957-1825
(787) 370-4532
Mailing address
URB EL NARANJAL CALLE 1 F6, TOA BAJA, PR 00949-4208
(787) 370-4532
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
224Z00000X
Occupational Therapy Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038451900
—
PR
01
—
4742618
IDENTIFICATION NUMBER
PR
Enumeration date
03/12/2020
Last updated
12/31/2020
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