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General NPI Number Information
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NPI Number | 1104739630
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Entity Type | Organization
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Legal Business Name | CENTRO AVANZA SERVICIOS PSICOLOGICOS LLC
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Dates
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Enumeration Date | 09/25/2026
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Last Update Date | 09/25/2026
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Provider Practice Location Address
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Address Line | CARR 125 KM 10.1
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City | MOCA
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State | PR
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Zip | 00676
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Country | US
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Telephone | 787-966-0345
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2318
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City | MOCA
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State | PR
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Zip | 00676-2318
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Country | US
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Telephone | 787-966-0345
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | ABIGIAL CORDERO ROBLES
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Credential |
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Telephone | 787-996-0345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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