Organization
SENSORY BRAIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JINNERVA MIRANDA POLANCO SLP (PRESIDENT)
(787) 202-9850
Entity
Organization
Contact information
Practice address
BO. CANABONCITO, SECTOR LA SIERRA, CARR. 172 KM.20.6, CAGUAS, PR 00725
(939) 317-3984
Mailing address
URB BAIROA GOLDEN GATE II, Q8 CALLE G, CAGUAS, PR 00727-1146
(787) 202-9850
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
11/21/2024
Last updated
12/09/2024
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