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General NPI Number Information
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NPI Number | 1467346841
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Entity Type | Organization
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Legal Business Name | RECONSTRUYENDO LLC
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 48 CALLE BETANCES
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City | CAGUAS
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State | PR
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Zip | 00725-3573
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Country | US
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Telephone | 939-264-3827
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Fax |
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Provider Business Mailing Address
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Address Line | 48 CALLE BETANCES
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City | CAGUAS
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State | PR
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Zip | 00725-3573
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JAVIER I MENDEZ LOZADA
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Credential | PSY
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Telephone | 939-264-3827
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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