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General NPI Number Information
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NPI Number | 1780412437
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Entity Type | Organization
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Legal Business Name | INSTITUTO DE BIENESTAR CONSCIENTE
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Dates
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Enumeration Date | 07/24/2024
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 185 CALLE MENDEZ VIGO W
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City | MAYAGUEZ
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State | PR
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Zip | 00682-3228
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Country | US
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Telephone | 787-831-4018
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Fax |
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Provider Business Mailing Address
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Address Line | 26 CALLE SALUD N
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City | MAYAGUEZ
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State | PR
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Zip | 00680-5403
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | RAQUEL I GAUD
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Credential |
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Telephone | 787-344-3534
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling 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 | 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 #3
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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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Taxonomy #4
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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