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General NPI Number Information
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NPI Number | 1083503254
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Entity Type | Individual
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Provider Name | ALEXANDRA ORSINI SANTOS
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Gender | Female
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 623 AVE. PONCE DE LEON EDIF. BANCO COOP EXECUTIVE TOWER
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City | SAN JUAN
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State | PR
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Zip | 00917
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Country | US
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Telephone | 939-346-1429
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Fax |
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Provider Business Mailing Address
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Address Line | COND LA ALBORADA 1225 CARR 2 APT 1021
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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 |
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 8479
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 8479
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number | 8479
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License Number State | PR
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Taxonomy #4
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 8479
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License Number State | PR
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