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General NPI Number Information
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NPI Number | 1346738051
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Entity Type | Organization
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Legal Business Name | PROFESIONALES AL SERVICIO DEL DESARROLLO
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Dates
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Enumeration Date | 04/27/2018
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Last Update Date | 04/27/2018
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Provider Practice Location Address
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Address Line | URB. JARDINES DE TOA ALTA CALLE 1 LOCAL 1 RIO DEL PLATA MALL OFICINA 3-C
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City | TOA ALTA
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State | PR
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Zip | 00954
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Country | US
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Telephone | 787-429-8693
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 460
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City | TOA ALTA
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State | PR
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Zip | 00954-0460
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Country | US
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Telephone | 787-429-8693
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGY
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Name | DR. MAYRA S TORRES
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Credential | PSYD
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Telephone | 787-360-4933
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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 | 1732
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 103TA0700X
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Taxonomy Name | Adult Development & Aging Psychologist
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License Number | 1592
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 1732
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License Number State | PR
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Taxonomy #4
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number | 1732
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License Number State | PR
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Taxonomy #5
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number | 1592
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License Number State | PR
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Taxonomy #6
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 670
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License Number State | PR
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Taxonomy #7
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 670
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License Number State | PR
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Taxonomy #8
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 660
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License Number State | PR
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Taxonomy #9
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1592
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License Number State | PR
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