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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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