Organization
AZZUR ADVANCED THERAPEUTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR JAVIER RODRIGUEZ (PRESIDENT)
(787) 667-7674
Entity
Organization
Contact information
Practice address
1127 AVE MUNOZ RIVERA LOCAL 4, VILLA GRILLASCA, PONCE, PR 00717
(939) 384-4378
Mailing address
917 DOLORES P MACHADO, URB VILLAS DE RIO CANAS, PONCE, PR 00728-1933
(939) 384-4378
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/17/2026
Last updated
07/17/2026
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