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General NPI Number Information
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NPI Number | 1396188462
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Entity Type | Individual
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Provider Name | RICARDO CRUZ MORALES SR. M.PSY
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Gender | Male
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Dates
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Enumeration Date | 04/09/2013
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 126 CALLE CRUZ ORTIZ STELLA S
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City | HUMACAO
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State | PR
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Zip | 00791-3727
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Country | US
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Telephone | 787-850-4720
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Fax | 787-561-7464
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Provider Business Mailing Address
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Address Line | URB VERDE MAR 991 CALLE ZIRCONIA
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City | HUMACAO
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State | PR
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Zip | 00741-2125
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Country | US
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Telephone | 787-850-4720
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Fax | 787-561-7464
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 4255
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License Number State | PR
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