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General NPI Number Information
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NPI Number | 1750997862
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Entity Type | Organization
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Legal Business Name | ESCUCHA CLINICA, LLC
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Dates
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Enumeration Date | 09/23/2020
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 98 CALLE MAYAGUEZ
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City | SAN JUAN
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State | PR
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Zip | 00917-5116
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Country | US
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Telephone | 787-405-5818
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Fax |
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Provider Business Mailing Address
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Address Line | 400 CALLE CALAF STE 21
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City | SAN JUAN
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State | PR
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Zip | 00918-1313
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Country | US
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Telephone | 787-405-5818
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ZINNIA SANTIAGO
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Credential |
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Telephone | 787-427-4898
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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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Taxonomy #2
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Taxonomy Code | 103TP0814X
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Taxonomy Name | Psychoanalysis Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #4
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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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