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General NPI Number Information
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NPI Number | 1619846128
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Entity Type | Organization
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Legal Business Name | PSYCHIATRY PR LLC
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Dates
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Enumeration Date | 11/03/2025
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Last Update Date | 11/28/2025
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Provider Practice Location Address
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Address Line | CANOVANAS MALL CARR 185 KM 1 #14
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City | CANOVANAS
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State | PR
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Zip | 00729
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Country | US
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Telephone | 787-382-7319
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9200
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City | CAROLINA
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State | PR
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Zip | 00988-9200
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Country | US
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Telephone | 787-709-7454
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | GABRIEL SEMIDEY
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Credential |
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Telephone | 787-709-7454
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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