BRAIN BASE THERAPY CENTER LLC (NPI# 1730714593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730714593 |
| Entity Type | Organization |
| Organization Name | BRAIN BASE THERAPY CENTER LLC |
| Practice Address |
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 |
| Practice Telephone | 7872025530 |
| Mailing Telephone | 7872025530 |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2020-11-07 |
| Authorized Official Name | LIZA ROBELY RODRIGUEZ (PRESIDENTA) |
| Authorized Official Telephone | 7872025530 |
| Authorized Official Credential | THL, CPETE, CNSL |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 252Y00000X | Early Intervention Provider Agency | Agencies | ||
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
Ambulatory Health Care Facilities |
| Street Address |
BARRIO LOS LLANOS CARRETERA #14, KM 26.7 |
| City | COAMO |
| State | PR |
| Zip Code | 00769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273716 | Ivonne Garcia Soto | Psychologist | Coamo Plaza Shopping Center Carr. #153 Km. 13.7, Coamo, PR 00769 | 2020-10-20 |
| 1104449297 | Rosa Angelica Rivera Hernandez | Psychologist | Urb. El Eden D8, Coamo, PR 00769 | 2020-05-22 |
| 1659992493 | Alejandra Rodriguez | Dietitian, Registered | Urbanizacion Hacienda Miraflores, #32 Calle Jazmin, Coamo, PR 00769 | 2020-05-04 |
| 1831722354 | Dr Jose A Torres Viruet Csp | General Practice | Ave Luis M Marin, Carr 138, Coamo, PR 00769 | 2020-02-13 |
| 1073145033 | Miguel A Rivera | General Practice | Bo. Pasto San Diego Carr. 556 Km 14, Coamo, PR 00769 | 2020-02-07 |
| 1619513181 | Jorge Marie | Student in an Organized Health Care Education/Training Program | Bo Los Llanos Carr 545 Km 6.8, Coamo, PR 00769 | 2019-11-20 |
| 1134762867 | Laboratorio Clinico Yanluis | Clinical Medical Laboratory | Reparto Emanuelli # 6 Coamo, Puerto Rico 00769, Coamo, PR 00769 | 2019-10-25 |
| 1346895190 | Noelia Cortes | Pharmacist | Carretera 14 Km 26.6, Bo Los Llanos, Coamo, PR 00769 | 2019-08-08 |
| 1194287144 | Doel Delgado-lopez | General Practice | 90 Urb Valle Real, Coamo, PR 00769 | 2019-04-01 |
| 1962962555 | Transport Lifes Corp. | Secured Medical Transport (VAN) | 15 Calle Cerrillo, Urb El Bosque, Coamo, PR 00769 | 2019-03-21 |
| Find all providers in zip 00769 | ||||
| Taxonomy Code | 261QH0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Hearing and Speech |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174069751 | Hablame Clinica Terapeutica | Clinic/Center | Carr 153 Km 12.4 Local 3, Bo Las Flores, Coamo, PR 00769-9998 | 2017-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902418932 | K H Therapy Services, Inc | Clinic/Center | Bo. Puebla, Calle A, Guayanilla, PR 00656 | 2020-08-20 |
| 1932732799 | Centro De Terapias Yabisi, Psc | Clinic/Center | Carr #2 92.3, Calle Marginal, Camuy, PR 00627 | 2020-02-19 |
| 1750849287 | Pro Audiology Solutions, LLC | Clinic/Center | Urbanizacion Villa Fontana, 2al Calle 6 114 Via 6, Carolina, PR 00983 | 2019-03-04 |
| 1841707635 | Integral Therapy Center | Clinic/Center | 55 Calle A Urb Jardines De Arecibo, Arecibo, PR 00612 | 2018-01-03 |
| 1407303381 | Mini's Steps | Clinic/Center | 4250 Carr 2, Vega Baja, PR 00693 | 2016-09-08 |
| 1427425370 | Crece: Centro Terapeutico Para El Desarrollo Infantil LLC | Clinic/Center | 265 Ave Jesus T Pinero, San Juan, PR 00927-3911 | 2015-08-26 |
| 1063808483 | Speech Buddies | Clinic/Center | Mf10 Plaza 23, Monte Claro, Bayamon, PR 00961 | 2015-04-13 |
| 1558755256 | Jj Hearing LLC | Clinic/Center | 2022 Ave P A Campos, Aguadilla, PR 00603-7163 | 2015-03-20 |
| 1306284047 | Clinica De Servicios De Patologia Del Habla Y Lenguaje (clisep),c.s.p. | Clinic/Center | 346 Ave Hostos, Medical Emporium II Suite A31, Mayaguez, PR 00680 | 2013-06-04 |
| 1255673067 | Precision Hearing & Balance Center of Puerto Rico Psc | Clinic/Center | Carr. 845 Km 2.2, Ave Fair View D 36, San Juan, PR 00919 | 2013-03-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.