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General NPI Number Information
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NPI Number | 1669322517
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Entity Type | Organization
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Legal Business Name | MGS PSICOLOGOS, LLC
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Dates
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Enumeration Date | 01/30/2026
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 700 AVE JOBOS NUM 714
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City | ISABELA
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State | PR
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Zip | 00662-5505
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Country | US
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Telephone | 787-243-6908
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Fax | 787-243-6908
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Provider Business Mailing Address
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Address Line | 700 AVE JOBOS 714
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City | ISABELA
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State | PR
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Zip | 00662
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Country | US
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Telephone | 787-243-6908
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Fax | 787-243-6908
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Authorized Official
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Title or Position | PRESIDENT AND PSYCHOLGIST
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Name | DR. MAYDA TERES GRAULAU-SANTIAGO
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Credential | MS
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Telephone | 787-983-2360
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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