Ebenezer Kids Therapy Multidisciplinary Center Inc

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

Legal business name

EBENEZER KIDS THERAPY MULTIDISCIPLINARY CENTER INC

Practice address

Bo. Espinosa
Carr 679 KM 3
Dorado, PR 00646

Phone

(939) 377-0884

NPI assigned

Aug 23, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Daralys Perez Ortiz, MRSNPI 1609608264

Title

President

Phone

(939) 377-0884

Specialties & licenses 1

Addresses

Practitioners 1

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

• Daralys Perez Ortiz, TERAPISTA DEL HABLA

  • Speech-Language Assistant
  • Dorado, PR
  • NPI 1609608264
  NPD Authorized official

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1447083563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3578",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006923578",
            "telephone_number": "939-377-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO. ESPINOSA",
            "address_2": "CARR 679 KM 3",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "939-377-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBENEZER KIDS THERAPY MULTIDISCIPLINARY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "PEREZ ORTIZ",
        "authorized_official_first_name": "DARALYS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "939-377-0884",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MRS"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorado X-Ray Center
• Maikel Franklin Dotres Hidalgo, MD
• Dr. Alberto Zamot Carmona, P.S.C.
• Dr. Javier O. Perez P.S.C
• Dynamedics, Inc.
• Educare Inc.
• Egs Retina CRL
• El Saule LLC
• Elam LLC
• Esam a. Hussein

• Speech-Language Assistant in Dorado, PR
• Providers in Dorado, PR by specialty
• Speech-Language Assistant in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.