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NPI 1417729997

NPI 1417729997 : LOREN Y DIAZ RAMOS PSYD : CAMUY, PR

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General NPI Number Information
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    NPI Number           |    1417729997
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    Entity Type          |    Individual 
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    Provider Name        |    LOREN Y DIAZ RAMOS PSYD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/26/2023
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    Last Update Date     |    11/24/2025
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Provider Practice Location Address
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    Address Line         |    CARR. 2 KM 90.4 INT. UNIDAD 5 SECTOR ZARZA, BO. PUENTE
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    City                 |    CAMUY
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    State                |    PR
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    Zip                  |    00627-7601
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    Country              |    US
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    Telephone            |    787-622-0545
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    HC 4 BOX 17383 
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    City                 |    CAMUY
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    State                |    PR
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    Zip                  |    00627-7609
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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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        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    7686
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    License Number State |    PR
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