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General NPI Number Information
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NPI Number | 1457381436
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Entity Type | Organization
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Legal Business Name | SAN GABRIEL COMM. MENTAL HEALTH
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | NL14 VIA 22 VILLA FONTANA
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City | CAROLINA
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State | PR
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Zip | 00983-3941
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Country | US
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Telephone | 787-762-8824
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Fax |
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Provider Business Mailing Address
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Address Line | HC 02 PO BOX 14444
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City | CAROLINA
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State | PR
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Zip | 00987
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Country | US
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Telephone | 787-762-8824
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Fax |
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Authorized Official
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Title or Position | PRESIDENTA
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Name | MRS. VICTORIA ROSADO RIOS
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Credential |
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Telephone | 787-762-8824
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number |
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License Number State |
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