Provider Demographics
NPI:1073303228
Name:CLINICA DE TERAPIA TORNASOL, INC
Entity type:Organization
Organization Name:CLINICA DE TERAPIA TORNASOL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EDNEIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MENDEZ-SALAS
Authorized Official - Suffix:
Authorized Official - Credentials:MS,SLP
Authorized Official - Phone:787-453-2300
Mailing Address - Street 1:10-15 AVE AGUAS BUENAS
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959-6611
Mailing Address - Country:US
Mailing Address - Phone:787-705-5099
Mailing Address - Fax:
Practice Address - Street 1:10-15 AVE AGUAS BUENAS
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-6611
Practice Address - Country:US
Practice Address - Phone:787-705-5099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-10
Last Update Date:2025-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No252Y00000XAgenciesEarly Intervention Provider Agency