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NPI 1104770155

NPI 1104770155 : JOAN M LOZADA FLORES : CAGUAS, PR

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General NPI Number Information
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    NPI Number           |    1104770155
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    Entity Type          |    Individual 
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    Provider Name        |    JOAN M LOZADA FLORES
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/25/2026
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    Last Update Date     |    02/25/2026
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Provider Practice Location Address
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    Address Line         |    12 CALLE LOPE FLORES 
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    City                 |    CAGUAS
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    State                |    PR
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    Zip                  |    00725-2661
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    Country              |    US
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    Telephone            |    787-508-3414
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    HC 30 BOX 33856 
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    City                 |    SAN LORENZO
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    State                |    PR
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    Zip                  |    00754-9739
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    Country              |    US
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    Telephone            |    787-508-3414
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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        |    225XP0200X
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    Taxonomy Name        |    Pediatric Occupational Therapist
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    License Number       |    1130
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    License Number State |    PR
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