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General NPI Number Information
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NPI Number | 1043127723
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Entity Type | Organization
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Legal Business Name | ESAPALABRARANDO ESPACIO CLINICO CSP
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Dates
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Enumeration Date | 08/26/2026
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Last Update Date | 08/26/2026
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Provider Practice Location Address
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Address Line | 211 AVE DOMENECH STE 3C-3D
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City | SAN JUAN
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State | PR
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Zip | 00918-3528
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Country | US
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Telephone | 787-359-8694
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Fax |
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Provider Business Mailing Address
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Address Line | D4 CALLE 7 URB. PARQUE DE TORRIMAR
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City | BAYAMON
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State | PR
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Zip | 00959
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Country | US
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Telephone | 787-359-8694
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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. ELISABET AVILES
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Credential | PHD
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Telephone | 787-359-8694
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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