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General NPI Number Information
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NPI Number | 1740136043
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Entity Type | Organization
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Legal Business Name | SIS CLINICA INTEGRAL
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Dates
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Enumeration Date | 03/09/2026
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Last Update Date | 03/09/2026
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Provider Practice Location Address
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Address Line | 22 CALLE SOL STE 1
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City | PONCE
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State | PR
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Zip | 00730-3820
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Country | US
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Telephone | 939-368-4950
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 800052
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City | COTO LAUREL
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State | PR
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Zip | 00780-0052
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Country | US
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Telephone | 939-368-4950
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. MARIA ISABEL ALVAREZ
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Credential | PSYD
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Telephone | 939-368-4950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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