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General NPI Number Information
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NPI Number | 1639994080
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Entity Type | Organization
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Legal Business Name | AMA PSICOLOGIA INTEGRAL LLC
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Dates
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Enumeration Date | 11/20/2024
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | CARRETERA 189 URBANIZACION CONDADO MODERNO A4 CALLE 1 OFICINA 7
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City | CAGUAS
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State | PR
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Zip | 00725
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Country | US
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Telephone | 787-610-1225
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Fax |
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Provider Business Mailing Address
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Address Line | URB CONDADO MODERNO CALLE 1 F4
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City | CAGUAS
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State | PR
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Zip | 00725-2401
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Country | US
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Telephone | 787-610-1225
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST AND DIRECTOR
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Name | DR. ALBERTO J MORALES
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Credential | PHD
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Telephone | 787-610-1225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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