Provider Demographics
NPI:1972220192
Name:ESPACIO 7, LLC
Entity type:Organization
Organization Name:ESPACIO 7, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SAMARIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:FRAGOSO PAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:787-409-0444
Mailing Address - Street 1:VILLA NEVAREZ 1079 CALLE 8
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927-5220
Mailing Address - Country:US
Mailing Address - Phone:787-409-0444
Mailing Address - Fax:
Practice Address - Street 1:EDIFICIO 3077 PR 838 KM 1.5 CAMINO ALEJANDRINO
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-4800
Practice Address - Country:US
Practice Address - Phone:787-409-0444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-27
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty