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NPI 1043172422

NPI 1043172422 : CHRISTIAN PEREZ GONZALEZ CPL, TMF : SAN SEBASTIAN, PR

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General NPI Number Information
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    NPI Number           |    1043172422
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTIAN PEREZ GONZALEZ CPL, TMF
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/24/2025
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    Last Update Date     |    01/22/2026
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Provider Practice Location Address
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    Address Line         |    AVE. EMERITO ESTRADA RIVERA 1488 SUITE 2 
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    City                 |    SAN SEBASTIAN
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    State                |    PR
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    Zip                  |    00685-3046
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    Country              |    US
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    Telephone            |    939-433-1003
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    URB. COLINAS VERDES C6 CALLE 2
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    City                 |    SAN SEBASTIAN
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    State                |    PR
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    Zip                  |    00685-1914
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    Country              |    US
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    Telephone            |    787-307-7206
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    4832
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    License Number State |    PR
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