Provider Demographics
NPI:1528775178
Name:INFINITE THERAPY SOLUTIONS INC.
Entity type:Organization
Organization Name:INFINITE THERAPY SOLUTIONS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MNG
Authorized Official - Prefix:
Authorized Official - First Name:ISMAEL
Authorized Official - Middle Name:ALEX
Authorized Official - Last Name:RIVERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-557-9008
Mailing Address - Street 1:8964 NW 174TH LN
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018-6678
Mailing Address - Country:US
Mailing Address - Phone:786-557-9008
Mailing Address - Fax:
Practice Address - Street 1:8964 NW 174TH LN
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33018-6678
Practice Address - Country:US
Practice Address - Phone:786-557-9008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-02
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty