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General NPI Number Information
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NPI Number | 1265235501
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Entity Type | Organization
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Legal Business Name | SEGARRA WELLNESS CLINIC LLC
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Dates
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Enumeration Date | 03/31/2025
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 63 OESTE CALLE MENDEZ VIGO EDIFICIO TORRE DE HOSTOS OFICINA 1C
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City | MAYAGUEZ
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State | PR
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Zip | 00680
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Country | US
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Telephone | 787-908-0158
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3286
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City | MAYAGUEZ
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State | PR
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Zip | 00681-3286
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Country | US
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Telephone | 787-908-0158
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Fax |
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Authorized Official
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Title or Position | CO-OWNER/GENERAL MANAGER
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Name | ROCIO A SEGARRA
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Credential |
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Telephone | 787-908-0158
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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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 | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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