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General NPI Number Information
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NPI Number | 1558227512
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Entity Type | Organization
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Legal Business Name | BIOMENTAL OF PUERTO RICO, LLC
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Dates
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Enumeration Date | 01/02/2026
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 525 AVE FRANKLIN D ROOSEVELT STE 1214
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City | SAN JUAN
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State | PR
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Zip | 00918-8001
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Country | US
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Telephone | 787-990-9198
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Fax | 904-853-5885
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Provider Business Mailing Address
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Address Line | PO BOX 51507
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City | JACKSONVILLE BEACH
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State | FL
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Zip | 32240-1507
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Country | US
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Telephone | 904-853-5859
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Fax | 904-853-5885
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Authorized Official
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Title or Position | MEDICAL DIRECTOR/MD
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Name | DR. ALINA MARIA GALLIANO-PARDO
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Credential | MD
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Telephone | 904-853-5859
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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