Provider Demographics
NPI:1588414312
Name:PERTENESER
Entity type:Organization
Organization Name:PERTENESER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:I
Authorized Official - Last Name:FIGUEROA FELICIANO
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:787-235-8227
Mailing Address - Street 1:10 CONDOMINIO VEREDAS DEL RIO
Mailing Address - Street 2:APT 306A
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987-8761
Mailing Address - Country:US
Mailing Address - Phone:787-235-8227
Mailing Address - Fax:
Practice Address - Street 1:VILLA CAROLINA
Practice Address - Street 2:AVENIDA ROBERTO CLEMENTE 27-1
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985
Practice Address - Country:US
Practice Address - Phone:787-235-8227
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-25
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty