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General NPI Number Information
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NPI Number | 1295466878
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Entity Type | Individual
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Provider Name | AMY SANTIAGO MONTALVO LCDA
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Gender | Female
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Dates
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Enumeration Date | 06/23/2022
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | PLAZA DEL MERCADO GUAYANILLA, PR-127 OFICINA #7
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City | GUAYANILLA
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State | PR
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Zip | 00656
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Country | US
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Telephone | 787-955-2214
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Fax |
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Provider Business Mailing Address
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Address Line | URBANIZACION VILLAS DEL CAFETAL CALLE 7 G25
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City | YAUCO
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State | PR
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Zip | 00698
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Country | US
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Telephone | 787-955-2214
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 006910
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License Number State | PR
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