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General NPI Number Information
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NPI Number | 1740640770
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Entity Type | Organization
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Legal Business Name | APS CLINICS OF PUERTO RICO, INC.
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Dates
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Enumeration Date | 03/03/2016
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Last Update Date | 06/12/2020
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Provider Practice Location Address
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Address Line | CAROLINA SHOPPING COURT, ROAD #3, KM. 9.6
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City | CAROLINA
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State | PR
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Zip | 00979
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Country | US
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Telephone | 787-787-6410
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 71474
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City | SAN JUAN
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State | PR
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Zip | 00936-8574
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Country | US
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Telephone | 787-641-0773
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Fax |
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Authorized Official
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Title or Position | VP REGULATORY AFFAIRS
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Name | MR. JASON MORALES
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Credential |
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Telephone | 787-641-0774
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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