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NPI 1003783309

NPI 1003783309 : POWERUP PSYCHOLOGY INC : JUANA DIAZ, PR

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General NPI Number Information
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    NPI Number           |    1003783309
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    Entity Type          |    Organization 
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    Legal Business Name  |    POWERUP PSYCHOLOGY INC 
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Dates
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    Enumeration Date     |    10/21/2025
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    Last Update Date     |    10/21/2025
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Provider Practice Location Address
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    Address Line         |    4 CARR 14 
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    City                 |    JUANA DIAZ
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    State                |    PR
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    Zip                  |    00795-9157
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    Country              |    US
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    Telephone            |    939-217-2786
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 800737 
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    City                 |    COTO LAUREL
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    State                |    PR
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    Zip                  |    00780-0737
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    Country              |    US
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    Telephone            |    939-217-2786
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. MOISES  MUNOZ PAGAN 
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    Credential           |    PSYD
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    Telephone            |    939-284-6804
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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