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General NPI Number Information
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NPI Number | 1306514559
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Entity Type | Individual
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Provider Name | DR. GADIER RICARDO TORRES SR.
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Gender | Male
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Dates
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Enumeration Date | 09/02/2021
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 129 CARR KM 25 4
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City | LARES
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State | PR
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Zip | 00669-0000
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Country | US
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Telephone | 787-393-1984
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Fax |
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Provider Business Mailing Address
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Address Line | HC 2 BOX 5571
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City | LARES
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State | PR
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Zip | 00669-9724
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Country | US
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Telephone | 787-393-1984
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 7087
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License Number State | PR
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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 | 7087
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License Number State | PR
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