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General NPI Number Information
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NPI Number | 1356263669
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Entity Type | Organization
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Legal Business Name | ACCESO VIRTUAL A LA SALUD MENTAL EN PUERTO RICO CORP
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Dates
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Enumeration Date | 07/28/2026
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | CARR 763 KM 0.8 BO. BORINQUEN PRADERA
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City | CAGUAS
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State | PR
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Zip | 00725-9040
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Country | US
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Telephone | 939-649-1799
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Fax |
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Provider Business Mailing Address
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Address Line | HC 11 BOX 47665
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City | CAGUAS
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State | PR
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Zip | 00725-9040
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Country | US
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Telephone | 939-649-1799
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MILAGROS ROQUE CRUZ
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Credential | MSW
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Telephone | 939-649-1799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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