Organization
LS INNOVATIVE EDUCATION CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CESAR A VARGAS (PRESIDENT)
(787) 633-4007
Entity
Organization
Contact information
Practice address
207 CALLE JUAN SAN ANTONIO, MOCA, PR 00676-4146
(787) 818-0100
Mailing address
CALLE JUAN SAN ANTONIO EDIFICIO 207, MOCA, PR 00676-1561
(787) 818-0100
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/13/2025
Last updated
06/03/2026
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