Super Heroes 5K Inc

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

Legal business name

SUPER HEROES 5K INC

Practice address

KM 2.1 Road 107, Aguadilla Puerto Rico
Borinquen
Aguadilla, PR 00603

Phone

(787) 398-0242

NPI assigned

Feb 5, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Soammy Deliz Acevedo, LCDA.NPI 1821788217

Title

Directora Ejecutiva

Phone

(787) 398-0242

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.

• Soammy Deliz Acevedo

  • Speech-Language Pathologist
  • Aguadilla, PR
  • NPI 1821788217
  NPD Authorized official

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1679105902",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "EXT. MARBELLA 66 SEVILLA",
            "city": "AGUADILLA",
            "state": "PUERTO RICO",
            "postal_code": "00603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KM 2.1 ROAD 107, AGUADILLA PUERTO RICO",
            "address_2": "BORINQUEN",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-398-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER HEROES 5K INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "ACEVEDO",
        "authorized_official_first_name": "SOAMMY",
        "authorized_official_middle_name": "DELIZ",
        "authorized_official_title_or_position": "DIRECTORA EJECUTIVA",
        "authorized_official_telephone_number": "787-398-0242",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCDA."
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• State Insurance Fund
• Benjamin Stixrud, HS, AMS, NREMT
• Hector Luis Suarez Medina
• Damaris Suarez-Gonzalez
• Scott Suazo Humphreys, PA
• Moises Suzana Abreu
• Sylvette G Peterson
• Tactical Anesthesia, PSC
• Wanda I Talavera Muniz, PHD
• Samagy Laura Tejada-Flores, MD

• Child Intellectual and/or Developmental Disabilities Respite Care in Aguadilla, PR
• Providers in Aguadilla, PR by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.