Organization
SHAPES PR LLC
Active
Parent organization
SHAPES PR LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHAPES PR LLC
Authorized official
WILNELIA LOPEZ AQINO OT (PRESIDENT)
(787) 908-0908
Entity
Organization
Contact information
Practice address
AVE. ARCADIO ESTRADA 4160, SUITE 209, SAN SEBASTIAN, PR 00685-0000
(787) 908-0908
Mailing address
AVE. ARCADIO ESTRADA 4160, SUITE 209, SAN SEBASTIAN, PR 00685-0000
(787) 908-0908
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/14/2020
Last updated
02/14/2020
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