| Lazos Terapeuticos, Llc | |
|
30 Calle Padial Ste 132 Caguas PR 00725-3807 | |
| (787) 586-3845 | |
| Not Available |
| Full Name | Lazos Terapeuticos, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 30 Calle Padial Ste 132, Caguas, Puerto Rico |
| Authorized Official Name and Position | Sylvia M Vila (MANAGING MEMBER) |
| Authorized Official Contact | 7875863845 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lazos Terapeuticos, Llc Po Box 716 Caguas PR 00726-0716 Ph: (787) 586-3845 | Lazos Terapeuticos, Llc 30 Calle Padial Ste 132 Caguas PR 00725-3807 Ph: (787) 586-3845 |
| NPI Number | 1679252977 |
|---|---|
| Provider Enumeration Date | 07/13/2023 |
| Last Update Date | 07/13/2023 |
| Medicare PECOS PAC ID | 2769839075 |
|---|---|
| Medicare Enrollment ID | O20231108001332 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679252977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Sylvia Vila Sola |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1770056871 PECOS PAC ID: 0547617854 Enrollment ID: I20231108001560 |
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