Centro Reto de la Montana Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

946 Issued in PR

Legal business name

CENTRO RETO DE LA MONTANA INC

Practice address

Calle Julio Cintron #202
Edificio Guayacan Suite 218
Aibontio, PR 00705

Phone

(787) 633-5291

Fax

(787) 735-7613

NPI assigned

Mar 22, 2011

Last updated

May 16, 2014By 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. Jose G Leon Sr.

Title

Presidente

Phone

(787) 923-0203

Specialties & licenses 5

Addresses

Other identifiers 1

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400198400000",
    "number": "1750680344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 169 BOX 2400",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007052400",
            "telephone_number": "787-954-7770",
            "fax_number": "787-954-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE JULIO CINTRON #202",
            "address_2": "EDIFICIO GUAYACAN SUITE 218",
            "city": "AIBONTIO",
            "state": "PR",
            "postal_code": "00705",
            "telephone_number": "787-633-5291",
            "fax_number": "787-735-7613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO RETO DE LA MONTANA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-22",
        "last_updated": "2014-05-16",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-923-0203",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "402",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PR",
            "license": "1056",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCIA",
            "identifier": "946",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.