Provider Demographics
NPI:1285348771
Name:CENTRO DE TRATAMIENTO INTEGRAL MULTIDISCIPLINARIO INC.
Entity type:Organization
Organization Name:CENTRO DE TRATAMIENTO INTEGRAL MULTIDISCIPLINARIO INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:DR
Authorized Official - First Name:LUISITO
Authorized Official - Middle Name:
Authorized Official - Last Name:AGUILAR ABREU
Authorized Official - Suffix:
Authorized Official - Credentials:PSY D
Authorized Official - Phone:787-231-7449
Mailing Address - Street 1:PO BOX 1122
Mailing Address - Street 2:
Mailing Address - City:HATILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00659-1122
Mailing Address - Country:US
Mailing Address - Phone:787-515-5496
Mailing Address - Fax:
Practice Address - Street 1:CARR 119 KM 1.6
Practice Address - Street 2:AVE. DR. SUSONI
Practice Address - City:HATILLO
Practice Address - State:PR
Practice Address - Zip Code:00659
Practice Address - Country:US
Practice Address - Phone:787-515-5496
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language AssistantGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty