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General NPI Number Information
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NPI Number | 1336538065
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Entity Type | Organization
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Legal Business Name | CENTRO DE SERVICIOS PSICOLOGICOS RESURGIR, P.S.C.
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Dates
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Enumeration Date | 01/19/2015
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 22 CALLE SOL STE 1
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City | PONCE
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State | PR
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Zip | 00730-3820
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Country | US
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Telephone | 787-677-6065
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Fax |
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Provider Business Mailing Address
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Address Line | 22 CALLE SOL STE 1
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City | PONCE
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State | PR
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Zip | 00730-3820
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Country | US
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Telephone | 787-677-6065
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST PRESIDENT
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Name | DR. YIDDISH M ALVAREZ
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Credential | PH.D.
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Telephone | 787-677-6065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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