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General NPI Number Information
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NPI Number | 1316657224
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Entity Type | Organization
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Legal Business Name | HOLISTICA VIDA LLC
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Dates
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Enumeration Date | 12/01/2022
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Last Update Date | 01/11/2026
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Provider Practice Location Address
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Address Line | URB. LA RAMBLA CALLE CLARISAS 1283
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City | PONCE
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State | PR
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Zip | 00730
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Country | US
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Telephone | 787-298-9252
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Fax |
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Provider Business Mailing Address
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Address Line | URB. LA RAMBLA CALLE CLARISAS 1283
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City | PONCE
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State | PR
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Zip | 00730-4044
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Country | US
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Telephone | 787-298-9252
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MANUEL A CONESA FIGUEROA
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Credential | ND
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Telephone | 787-400-9704
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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