Organization
SUPERA CENTRO DE TERAPIAS INTEGRADAS, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSALIZ RODRIGUEZ (ADMINISTRATOR)
(787) 612-5896
Entity
Organization
Contact information
Practice address
A12 AVE LOMAS VERDES, BAYAMON, PR 00956-3134
(787) 612-5896
Mailing address
A12 AVE LOMAS VERDES, BAYAMON, PR 00956-3134
(787) 612-5896
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
429538
LICENCE
PR
Enumeration date
01/30/2025
Last updated
10/10/2025
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