Centro Interdiciplinario Psicoeducativo

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

CENTRO INTERDICIPLINARIO PSICOEDUCATIVO

Practice address

26 Calle Enrique Gonzalez
Esq Calle Luis Venegas
Guayama, PR 00784

Phone

(787) 329-1812

NPI assigned

Apr 1, 2025

Last updated

Apr 1, 2025By 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

Wanda Suarez

Title

President

Phone

(787) 329-1812

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1743465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1508669615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 272",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "007570272",
            "telephone_number": "787-329-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 CALLE ENRIQUE GONZALEZ",
            "address_2": "ESQ CALLE LUIS VENEGAS",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-329-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO INTERDICIPLINARIO PSICOEDUCATIVO",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-01",
        "last_updated": "2025-04-01",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "SUAREZ",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-329-1812"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Guayama, PR
• Providers in Guayama, PR by specialty
• Speech-Language Pathologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.