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Organization

GRILLITOS THERAPY GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LISANGELY RIVERA OTL (PRESIDENT)
(939) 539-4739
Entity
Organization

Contact information

Practice address
CARR. 110 INT. 111 KM. 12.8, EDIF. MOCA PROFESSIONAL PLAZA OFIC. 203, MOCA, PR 00676
(787) 378-5366
Mailing address
PO BOX 194807, SAN JUAN, PR 00919-4807
(787) 378-5366

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
103TB0200X
Cognitive & Behavioral Psychologist
103TC0700X
Clinical Psychologist
103TC2200X
Clinical Child & Adolescent Psychologist
103TF0000X
Family Psychologist
103TS0200X
School Psychologist
224Z00000X
Occupational Therapy Assistant
225X00000X
Occupational Therapist
Primary
225XM0800X
Mental Health Occupational Therapist
225XP0200X
Pediatric Occupational Therapist
2355S0801X
Speech-Language Assistant
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
04/27/2023
Last updated
04/27/2023
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