Provider Demographics
NPI:1861100992
Name:DREAMLAND LEARNING CENTER L3C
Entity type:Organization
Organization Name:DREAMLAND LEARNING CENTER L3C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SLP/ FOUNDER- CEO
Authorized Official - Prefix:
Authorized Official - First Name:YAZAI
Authorized Official - Middle Name:M
Authorized Official - Last Name:MERCED CARMONA
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:787-671-0231
Mailing Address - Street 1:URB. LAS COLINAS C/ COLINAS DEL MAR
Mailing Address - Street 2:A-4
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949
Mailing Address - Country:US
Mailing Address - Phone:787-671-0231
Mailing Address - Fax:
Practice Address - Street 1:URB. VILLA RICA CALLE 1 G-18
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-671-0231
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-08
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty