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General NPI Number Information
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NPI Number | 1346781283
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Entity Type | Organization
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Legal Business Name | RR PSYCH PSC
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Dates
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Enumeration Date | 03/11/2017
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | CALLE MUNOZ RIVERA 2 STE 309 CENTRO MEDICO PROFESIONAL
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City | CAGUAS
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State | PR
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Zip | 00726-2604
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Country | US
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Telephone | 787-612-7997
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Fax |
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Provider Business Mailing Address
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Address Line | 316 CALLE SAN MATEO
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City | JUNCOS
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State | PR
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Zip | 00777-8634
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Country | US
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Telephone | 787-612-7997
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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. DENNIS RIOS ROMAN
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Credential | PSYD
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Telephone | 787-612-7997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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