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General NPI Number Information
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NPI Number | 1205064797
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Entity Type | Individual
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Provider Name | ALVIN JESUS RODRIGUEZ CRUZ PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 06/23/2009
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 36 CALLE ESTRELLA
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City | PONCE
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State | PR
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Zip | 00730-3832
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Country | US
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Telephone | 787-840-7671
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Fax |
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Provider Business Mailing Address
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Address Line | HC 9 BOX 1658
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City | PONCE
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State | PR
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Zip | 00731-9713
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Country | US
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Telephone | 787-232-5060
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 3449
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License Number State | PR
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