Provider Demographics
| NPI: | 1912551466 |
|---|---|
| Name: | EMET, LLC |
| Entity type: | Organization |
| Organization Name: | EMET, LLC |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | PRESIDENT |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | YAHAIRA |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | DIAZ |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 787-340-5103 |
| Mailing Address - Street 1: | I-10 CALLE 6 URB LOS TAMARINDOS |
| Mailing Address - Street 2: | |
| Mailing Address - City: | SAN LORENZO |
| Mailing Address - State: | PR |
| Mailing Address - Zip Code: | 00754 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 787-363-5103 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 52 CALLE BETANCES |
| Practice Address - Street 2: | |
| Practice Address - City: | CAGUAS |
| Practice Address - State: | PR |
| Practice Address - Zip Code: | 00725-3508 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 787-363-5103 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2019-08-01 |
| Last Update Date: | 2021-02-13 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | Multi-Specialty | |
| No | 103TA0400X | Behavioral Health & Social Service Providers | Psychologist | Addiction (Substance Use Disorder) | Group - Multi-Specialty |
| No | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | Clinical | Group - Multi-Specialty |
| No | 103TC1900X | Behavioral Health & Social Service Providers | Psychologist | Counseling | Group - Multi-Specialty |
| No | 103TF0000X | Behavioral Health & Social Service Providers | Psychologist | Family | Group - Multi-Specialty |
| No | 103TF0200X | Behavioral Health & Social Service Providers | Psychologist | Forensic | Group - Multi-Specialty |
| No | 103TM1800X | Behavioral Health & Social Service Providers | Psychologist | Intellectual & Developmental Disabilities | Group - Multi-Specialty |
| No | 103TP2701X | Behavioral Health & Social Service Providers | Psychologist | Group Psychotherapy | Group - Multi-Specialty |
| No | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | Clinical | Group - Multi-Specialty |
| No | 224Z00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | Group - Multi-Specialty | |
| No | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Multi-Specialty | |
| No | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation, Substance Use Disorder |
