Organization
JIREH THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANNA COLLAZO SANTIAGO SLP (PRESIDENT)
(787) 934-1824
Entity
Organization
Contact information
Practice address
CARR 165 KM 10.4, LILLY MINI MALL PISO 1 LOCAL BO CONTORNO, TOA ALTA, PR 00953
(787) 934-1824
Mailing address
PO BOX 463, COROZAL, PR 00783-0463
(787) 934-1824
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/20/2023
Last updated
02/06/2024
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