Provider Demographics
NPI:1831554831
Name:CENTRO SUENOS Y PALABRAS LLC
Entity type:Organization
Organization Name:CENTRO SUENOS Y PALABRAS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRADORA
Authorized Official - Prefix:MRS
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAYAS
Authorized Official - Suffix:
Authorized Official - Credentials:THL
Authorized Official - Phone:787-548-5938
Mailing Address - Street 1:205 CALLE PRINCIPE
Mailing Address - Street 2:URB ESTANCIAS DEL REAL
Mailing Address - City:COTO LAUREL
Mailing Address - State:PR
Mailing Address - Zip Code:00780
Mailing Address - Country:US
Mailing Address - Phone:787-548-5938
Mailing Address - Fax:
Practice Address - Street 1:205 CALLE PRINCIPE
Practice Address - Street 2:URB. ESTANCIAS DEL REAL
Practice Address - City:COTO LAUREL
Practice Address - State:PR
Practice Address - Zip Code:00780-3211
Practice Address - Country:US
Practice Address - Phone:787-548-5938
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-18
Last Update Date:2015-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR171W00000X
PR10082355S0801X, 261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No171W00000XOther Service ProvidersContractorGroup - Multi-Specialty
No2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language AssistantGroup - Multi-Specialty