Provider Demographics
NPI:1124981485
Name:CENTRO DE SALUD INTEGRADA DE PUERTO RICO LLC
Entity type:Organization
Organization Name:CENTRO DE SALUD INTEGRADA DE PUERTO RICO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND LEAD THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:KATIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOBONIS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMT
Authorized Official - Phone:787-360-1842
Mailing Address - Street 1:670 AVE PONCE DE LEON APT 614
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-3241
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:403 CALLE DEL PARQUE STE 908
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00912-3709
Practice Address - Country:US
Practice Address - Phone:787-360-1842
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-04
Last Update Date:2025-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
No171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty
No173C00000XOther Service ProvidersReflexologistGroup - Multi-Specialty