Provider Demographics
NPI:1336948231
Name:ASOCIACION SUZUKI DE PUERTO RICO
Entity type:Organization
Organization Name:ASOCIACION SUZUKI DE PUERTO RICO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/ MUSIC THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTA
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MT-BC 10268
Authorized Official - Phone:787-306-2694
Mailing Address - Street 1:VILLA NEVARES 1026 18 STREET
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927
Mailing Address - Country:US
Mailing Address - Phone:787-306-2694
Mailing Address - Fax:
Practice Address - Street 1:VILLA NEVARES 18 STREET
Practice Address - Street 2:# 1026
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927-5113
Practice Address - Country:US
Practice Address - Phone:787-306-2694
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-12
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Single Specialty