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General NPI Number Information
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NPI Number | 1639042781
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Entity Type | Individual
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Provider Name | LUIS H RODRIGUEZ OCASIO
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Gender | Male
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Dates
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Enumeration Date | 09/25/2025
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 1105 CALLE TENIENTE CESAR GONZALEZ VILLA NEVAREZ
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City | SAN JUAN
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State | PR
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Zip | 00927
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Country | US
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Telephone | 787-761-0715
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Fax |
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Provider Business Mailing Address
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Address Line | URB FLORAL PARK 111 CALLE DUARTE APT 2
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City | SAN JUAN
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State | PR
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Zip | 00917-0000
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Country | US
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Telephone | 787-423-4155
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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