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General NPI Number Information
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NPI Number | 1124981485
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Entity Type | Organization
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Legal Business Name | CENTRO DE SALUD INTEGRADA DE PUERTO RICO LLC
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Dates
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Enumeration Date | 12/04/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 403 CALLE DEL PARQUE STE 908
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City | SAN JUAN
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State | PR
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Zip | 00912-3709
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Country | US
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Telephone | 787-360-1842
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Fax |
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Provider Business Mailing Address
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Address Line | 670 AVE PONCE DE LEON APT 614
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City | SAN JUAN
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State | PR
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Zip | 00907-3241
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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 | FOUNDER AND LEAD THERAPIST
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Name | MS. KATIA BOBONIS
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Credential | MA, LMT
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Telephone | 787-360-1842
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 173C00000X
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Taxonomy Name | Reflexologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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