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General NPI Number Information
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NPI Number | 1336021146
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Entity Type | Organization
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Legal Business Name | BORINQUEN PSYCHOLOGY CENTER
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Dates
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Enumeration Date | 07/23/2025
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 100 URB SAN CARLOS LOCAL #1
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City | AGUADILLA
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State | PR
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Zip | 00603-5829
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Country | US
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Telephone | 787-685-4018
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5000
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City | AGUADA
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State | PR
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Zip | 00602-7003
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Country | US
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Telephone | 787-685-4018
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICAL DIRECTOR
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Name | JASMIN LORENZO CARRERO
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Credential | PSY D
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Telephone | 787-685-4018
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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