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General NPI Number Information
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NPI Number | 1417816562
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Entity Type | Organization
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Legal Business Name | CLINICA DE SERVICIOS INTEGRADOSN ETAPAS LLC
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Dates
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Enumeration Date | 01/15/2026
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | CARRETERA 123 K. 54.6 INTERIOR BARRIO SALTO ARRIBA SECTOR EL GUANO
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City | UTUADO, PR
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State | PR
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Zip | 00641-7901
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Country | US
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Telephone | 787-487-5040
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Fax |
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Provider Business Mailing Address
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Address Line | HC 4 BOX 10014
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City | UTUADO
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State | PR
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Zip | 00641-7901
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Country | US
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Telephone | 787-487-5040
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CARMEN YAMARIL TORRES CINTRON
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Credential |
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Telephone | 787-397-7387
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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