Integral Therapy Center-Manati, LLC.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

INTEGRAL THERAPY CENTER-MANATI, LLC.

Practice address

Urb. Flamboyan, D15 Calle McKinley
Edificio Oharriz, Suite 4
Manati, PR 00674

Phone

(787) 308-0508

NPI assigned

Feb 22, 2023

Last updated

Feb 22, 2023By 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

Mr. Abdiel Wilfredo Galan Rivera, MBA

Title

President/Administrator

Phone

(787) 685-6835

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1740988492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. LOS PINOS 1",
            "address_2": "177 CALLE JUNIPERO SAVINA",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-685-6835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. FLAMBOYAN, D15 CALLE MCKINLEY",
            "address_2": "EDIFICIO OHARRIZ, SUITE 4",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-308-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRAL THERAPY CENTER-MANATI, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2022-11-08",
        "status": "A",
        "authorized_official_last_name": "GALAN RIVERA",
        "authorized_official_first_name": "ABDIEL",
        "authorized_official_middle_name": "WILFREDO",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "787-685-6835",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "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 Manati, PR
• Providers in Manati, 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 Feb 22, 2023; 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.