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General NPI Number Information
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NPI Number | 1245177096
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Entity Type | Organization
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Legal Business Name | CENTRO PSICOTERAPEUTICO TRANSFORMARE LLC
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Dates
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Enumeration Date | 04/30/2026
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Last Update Date | 04/30/2026
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Provider Practice Location Address
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Address Line | CARR 149 KM 63.8 BO GUAYABAL GUAYABAL PROFESSIONAL BUILDING, SUITE 2005
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City | JUANA DIAZ
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State | PR
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Zip | 00795
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Country | US
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Telephone | 939-380-3692
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7105
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City | PONCE
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State | PR
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Zip | 00732-7105
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Country | US
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Telephone | 939-380-3692
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LISANDRA MARTINEZ
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Credential |
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Telephone | 939-380-3692
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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