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General NPI Number Information
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NPI Number | 1013573435
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Entity Type | Organization
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Legal Business Name | CENTRO PSICOTERAPEUTICO CORP
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Dates
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Enumeration Date | 05/10/2019
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Last Update Date | 05/10/2019
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Provider Practice Location Address
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Address Line | AVENIDA VICTOR ROJAS ESQUINA JUAN COLON PADILLA 19
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City | ARECIBO
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State | PR
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Zip | 00612
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Country | US
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Telephone | 787-879-5550
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Fax | 787-879-5550
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Provider Business Mailing Address
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Address Line | PO BOX 141717
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City | ARECIBO
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State | PR
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Zip | 00614
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Country | US
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Telephone | 787-879-5550
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Fax | 787-879-5550
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Authorized Official
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Title or Position | PSYCHIATRIST
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Name | JORGE R ROBLES
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Credential |
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Telephone | 787-879-5550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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