Brain Base Therapy Center LLC
Organization Active NPI Hearing and Speech Clinic/Center · Coamo, PR
NPI 1730714593 · NPPES record last updated Nov 7, 2020
Key facts
- NPI
- 1730714593
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hearing and Speech Clinic/Center 261QH0700X
- Legal business name
- BRAIN BASE THERAPY CENTER LLC
- Practice address
- Barrio Los Llanos
Carretera #14, KM 26.7
Coamo, PR 00769 - Phone
- (787) 202-5530
- NPI assigned
- Mar 11, 2020
- Organization subpart
- No
Authorized official
- Name
- Liza Robely Rodriguez, THL, CPETE, CNSL
- Title
- Presidenta
- Phone
- (787) 202-5530
Practitioners 1
-
Liza R Rodriguez, THL
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist |
103TC2200X | |||
| Pediatric Occupational Therapist |
225XP0200X | |||
| Early Intervention Provider Agency | 252Y00000X | |||
| Clinic/Center | 261Q00000X | |||
| Hearing and Speech Clinic/Center | 261QH0700X | Yes |
Addresses
Primary practice location
Barrio Los Llanos
Carretera #14, KM 26.7
Coamo, PR 00769
Mailing address
Urb. Colinas de Verde Azul Calle Siena
# 46
Juana Diaz, PR 00795
Phone (787) 202-5530
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | brainbasedtherapycenter@gmail.com |
Other providers in Coamo, PR
- Lydsia M. Berly
- Clarielis Berrios
- Francisco Jose Betancourt Borges
- Maria De Los Angeles Blanco Collazo
- Liany Camille Borges
- Yanitzia Enid Burgos Mateo
- Edwill Burgos-Velazquez
- Felix M. Caratini Soto
- Danishka Marie Cardona
- Ida E. Cardona
All providers in Coamo, PR · Hearing and Speech Clinic/Center in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.