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General NPI Number Information
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NPI Number | 1548118375
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Entity Type | Organization
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Legal Business Name | CENTRO INTEGRAL DE PSICOLOGIA RENACER
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Dates
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Enumeration Date | 03/18/2026
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Last Update Date | 03/18/2026
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Provider Practice Location Address
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Address Line | EXT. FOREST HILL, MARGINAL B13
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City | BAYAMON
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State | PR
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Zip | 00959
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Country | US
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Telephone | 939-473-0134
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Fax |
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Provider Business Mailing Address
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Address Line | URB. LOS MONTES 482 CALLE PALOMA
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City | DORADO
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State | PR
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Zip | 00646-9444
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Country | US
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Telephone | 939-473-0134
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Fax |
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Authorized Official
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Title or Position | PSICOLOGA/PRESIDENTA
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Name | MISS ANGIE JULIET VAZQUEZ
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Credential | MA
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Telephone | 787-380-0258
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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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