Organization
CENTRO TERAPEUTICO INNOVATE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEYSHLA M FLORES PABON (AGENTE AUTORIZADO)
(787) 432-1348
Entity
Organization
Contact information
Practice address
BO. LLANOS DEL SUR CALLE ESMERALDA ESQ LAS ROSAS COTO L, PONCE, PR 00780
(787) 284-4991
Mailing address
URB. ESTANCIAS DE JUANA DIAZ CALLE ALMENDRO 205, JUANA DIAZ, PR 00795
(787) 432-1348
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
174400000X
Specialist
—
—
2084N0400X
Neurology Physician
—
—
222Q00000X
Developmental Therapist
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
05/05/2025
Last updated
05/13/2025
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