Centro Terapeutico Genesis Inc

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

665 Issued in PR

Legal business name

CENTRO TERAPEUTICO GENESIS INC

Practice address

Marginal D- 39
Urb. Villa Real
Vega Baja, PR 00693

Phone

(787) 317-2826

NPI assigned

Aug 24, 2018

Last updated

Aug 24, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jessica Rodriguez Rosado, THL

Title

Presidenta

Phone

(787) 317-2826

Specialties & licenses 6

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica Rodriguez, THL

  • Speech-Language Assistant
  • Vega Baja, PR
  • NPI 1134331879
  NPD (past)

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535068800000",
    "number": "1497236889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MARGINAL D- 39",
            "address_2": "URB. VILLA REAL",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00693",
            "telephone_number": "787-317-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MARGINAL D- 39",
            "address_2": "URB. VILLA REAL",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00693",
            "telephone_number": "787-317-2826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO TERAPEUTICO GENESIS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-24",
        "last_updated": "2018-08-24",
        "status": "A",
        "authorized_official_last_name": "ROSADO",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "RODRIGUEZ",
        "authorized_official_title_or_position": "PRESIDENTA",
        "authorized_official_telephone_number": "787-317-2826",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "THL"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": null,
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PR",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PR",
            "license": null,
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "PR",
            "license": "665",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "PR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jania M Charon Cordero, MD
• Shirley Chavez
• Ciap

• Speech-Language Assistant in Vega Baja, PR
• Providers in Vega Baja, 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 24, 2018; 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.