Provider Demographics
NPI:1316132053
Name:CENTRO DE EVALUACION E INTERVENCIO PASOS
Entity type:Organization
Organization Name:CENTRO DE EVALUACION E INTERVENCIO PASOS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:NAREDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-747-1374
Mailing Address - Street 1:421 CALLE SAN JOVINO
Mailing Address - Street 2:URB. SAGRADO CORAZON
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-4212
Mailing Address - Country:US
Mailing Address - Phone:787-347-6655
Mailing Address - Fax:787-745-0549
Practice Address - Street 1:PLAZA DE SALUD SANOS
Practice Address - Street 2:AVE. RAFAEL CORDERO FINAL, ESQUINA TROCHE
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-747-1374
Practice Address - Fax:787-745-0549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-06
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental DisabilitiesGroup - Multi-Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled ServicesGroup - Multi-Specialty