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General NPI Number Information
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NPI Number | 1417851924
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Entity Type | Organization
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Legal Business Name | CLINICA INTEGRAL DR. ROBERTO NORNIELLA MD LLC
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Dates
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Enumeration Date | 10/07/2026
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Last Update Date | 10/07/2026
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Provider Practice Location Address
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Address Line | 6772 AVENIDA ISLA VERDE - ISLA VERDE MALL SUITE 205B
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City | CAROLINA
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State | PR
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Zip | 00979
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Country | US
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Telephone | 787-985-7011
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Fax |
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Provider Business Mailing Address
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Address Line | 6772 AVENIDA ISLA VERDE - ISLA VERDE MALL SUITE 205B
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City | CAROLINA
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State | PR
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Zip | 00979
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Country | US
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Telephone | 787-985-7011
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROBERTO VERA NORNIELLA
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Credential | MD
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Telephone | 770-572-2176
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State | NULL
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