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General NPI Number Information
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NPI Number | 1144037607
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Entity Type | Organization
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Legal Business Name | CENTRO TERAPEUTICO BIENESTAR INTEGRAL CORP
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Dates
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Enumeration Date | 12/17/2024
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 16 CALLE JOSE CELSO BARBOSA ESQ LUNA LOCAL 3
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City | LAS PIEDRAS
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State | PR
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Zip | 00771
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Country | US
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Telephone | 787-456-2600
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Fax |
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Provider Business Mailing Address
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Address Line | HC 15 BOX 16053
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City | HUMACAO
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State | PR
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Zip | 00791-9748
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Country | US
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Telephone | 787-940-6109
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LYNERIC RODRIGUEZ FONSECA
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Credential |
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Telephone | 787-940-6109
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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