Provider Demographics
NPI:1861897258
Name:THERAPEUTICAL SERVICES
Entity type:Organization
Organization Name:THERAPEUTICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARICARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:FONTANET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-594-1126
Mailing Address - Street 1:P.O. BOX 4956
Mailing Address - Street 2:PMB 2105
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:B5 CALLE CORCHADO
Practice Address - Street 2:AVE. JOSE VILLARES URB. PARADIS
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-2622
Practice Address - Country:US
Practice Address - Phone:787-594-1126
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-28
Last Update Date:2014-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1262235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty