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General NPI Number Information
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NPI Number | 1417805045
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Entity Type | Individual
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Provider Name | KATHIA M PENA RIOS PHD
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Gender | Female
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Dates
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Enumeration Date | 03/19/2026
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Last Update Date | 03/19/2026
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Provider Practice Location Address
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Address Line | 1135 CALL 5 URB. VILLA NEVAREZ
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City | SAN JUAN
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State | PR
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Zip | 00927-5165
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Country | US
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Telephone | 787-530-6633
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 AVE DE DIEGO URB. PALACIOS DEL ESCORIAL APT 960
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City | CAROLINA
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State | PR
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Zip | 00987-4701
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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 | 8826
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License Number State | PR
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