Organization Active NPI

Centro de Integracion Desarrollo Y Ayuda Al Nino Adulto E Infante LLC

  • Hearing and Speech Clinic/Center
  • Aguadilla, PR
National Provider Identifier
1114647849
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
CENTRO DE INTEGRACION DESARROLLO Y AYUDA AL NINO ADULTO E INFANTE LLC
Practice address
Carr. 2 KM 122.5
Bo. Caimital Alto
Aguadilla, PR 00603
Phone
(939) 313-0343
NPI assigned
Sep 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mara Itzel Soto, LCDA
Title
Patologa del Habla Y Lenguaje
Phone
(939) 275-0591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

Primary practice location

Carr. 2 KM 122.5
Bo. Caimital Alto
Aguadilla, PR 00603

Mailing address

3623 Ave Militar
Suite 101 PMB 311
Isabela, PR 00662
Phone (939) 313-0343

National Provider Directory

National Provider Directory

Locations

3623 Ave Militar
Ste 101
Isabela, PR 00662

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1114647849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3623 AVE MILITAR",
            "address_2": "SUITE 101 PMB 311",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "00662",
            "telephone_number": "939-313-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 2 KM 122.5",
            "address_2": "BO. CAIMITAL ALTO",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "939-313-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE INTEGRACION DESARROLLO Y AYUDA AL NINO ADULTO E INFANTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "MARA",
        "authorized_official_middle_name": "ITZEL",
        "authorized_official_title_or_position": "PATOLOGA DEL HABLA Y LENGUAJE",
        "authorized_official_telephone_number": "939-275-0591",
        "authorized_official_credential": "LCDA"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.