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General NPI Number Information
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NPI Number | 1184832669
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Entity Type | Organization
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Legal Business Name | CESA- ACCESA CORP
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 25 ST, C- 21, OF 3 FOREST HILLS
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City | BAYAMON
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State | PR
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Zip | 00956
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Country | US
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Telephone | 787-796-5654
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Fax |
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Provider Business Mailing Address
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Address Line | 151 CALLE ZIRCONIA PRADOS DORADO SUR
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City | DORADO
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State | PR
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Zip | 00646-9654
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Country | US
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Telephone | 787-796-5654
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & FOUNDER
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Name | DR. CARLOS DAVID COSTA
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Credential | DD,MA,MHS, MAC, LSAC
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Telephone | 787-241-9660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 0016
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number | 0016
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0016
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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 | 0016
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License Number State | PR
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0016
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License Number State | PR
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Taxonomy #6
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0016
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License Number State | PR
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Taxonomy #7
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 0016
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License Number State | PR
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Taxonomy #8
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 0016
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License Number State | PR
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