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General NPI Number Information
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NPI Number | 1063302164
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Entity Type | Organization
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Legal Business Name | CUIDADO MENTAL COMPLETO, LLC
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Dates
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Enumeration Date | 07/09/2025
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 2431 BLVD LUIS A FERRE STE 207
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City | PONCE
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State | PR
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Zip | 00717-2115
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Country | US
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Telephone | 787-974-0815
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 800378
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City | COTO LAUREL
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State | PR
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Zip | 00780-0378
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Country | US
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Telephone | 787-974-0815
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SANTOS MANUEL SANTIAGO PABON
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Credential | MD
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Telephone | 787-974-0815
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number |
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License Number State |
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