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General NPI Number Information
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NPI Number | 1033977343
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Entity Type | Organization
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Legal Business Name | ALTERNATIVAS PSICOLOGICAS CENTRO DE TERAPIAS LLC
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Dates
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Enumeration Date | 03/11/2024
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Last Update Date | 03/11/2024
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Provider Practice Location Address
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Address Line | 403 AVE DOMENECH # A
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City | SAN JUAN
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State | PR
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Zip | 00918-2674
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Country | US
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Telephone | 787-598-0606
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Fax |
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Provider Business Mailing Address
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Address Line | VENUS GARDENS NORTE AD 26 CALLE TEHUACAN
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-598-0606
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | NELISA ALGARIN BURGOS
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Credential | MA
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Telephone | 787-598-0606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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