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General NPI Number Information
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NPI Number | 1467334334
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Entity Type | Organization
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Legal Business Name | PROYECTO LIBELULA LLC
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Dates
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Enumeration Date | 07/22/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | PARC SANTA ROSA 1951 CALLE AMBROSIO PADILLA
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City | HATILLO
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State | PR
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Zip | 00659-1669
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Country | US
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Telephone | 939-301-2791
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Fax |
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Provider Business Mailing Address
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Address Line | BARRIO PUEBLO SECTOR SANTA ROSA 1951 CALLE AMBROSIO PADILLA
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City | HATILLO
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State | PR
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Zip | 00659
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Country | US
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Telephone | 939-301-2791
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Fax |
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Authorized Official
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Title or Position | PSICOLOGA CLINICA
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Name | DR. MARILYN SANTIAGO QUINONES
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Credential | PSYD
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Telephone | 939-301-2791
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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 |
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License Number State |
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