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General NPI Number Information
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NPI Number | 1427919695
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Entity Type | Organization
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Legal Business Name | MENTEVIVA LLC
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Dates
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Enumeration Date | 11/18/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 23B CALLE NELSON PEREA
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City | MAYAGUEZ
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State | PR
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Zip | 00680-4946
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Country | US
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Telephone | 787-485-4033
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Fax |
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Provider Business Mailing Address
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Address Line | URB. REMANSO DE CABO ROJO CALLE TACHUELO # 1081
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City | CABO ROJO
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State | PR
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Zip | 00623
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Country | US
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Telephone | 787-485-4033
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Fax |
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Authorized Official
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Title or Position | TRABAJADORA SOCIAL CLINICA
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Name | JANIRA RIVERA
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Credential |
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Telephone | 787-485-4033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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