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NPI 1194604959

NPI 1194604959 : DENYLUZ ESCOBAR IGLESIAS : SAN JUAN, PR

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General NPI Number Information
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    NPI Number           |    1194604959
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    Entity Type          |    Individual 
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    Provider Name        |    DENYLUZ ESCOBAR IGLESIAS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/27/2025
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    Last Update Date     |    08/27/2025
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Provider Practice Location Address
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    Address Line         |    URB. COUNTRY CLUB 965 CALLE MALVIS 
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    City                 |    SAN JUAN
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    State                |    PR
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    Zip                  |    00924-1758
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    Country              |    US
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    Telephone            |    787-486-2979
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    URB. COUNTRY CLUB 965 CALLE MALVIS 
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    City                 |    SAN JUAN
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    State                |    PR
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    Zip                  |    00924
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    Country              |    US
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    Telephone            |    787-486-2979
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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        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    4695
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    License Number State |    PR
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