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General NPI Number Information
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NPI Number | 1780476838
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Entity Type | Organization
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Legal Business Name | CONSULTORES PSICOLOGICOS DEL ESTE, CSP
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Dates
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Enumeration Date | 05/22/2025
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | URB HERMANAS DAVILA CALLE 8 BLOQUE I-37
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City | BAYAMON
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State | PR
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Zip | 00956
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Country | US
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Telephone | 787-506-0800
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 364961
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City | SAN JUAN
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State | PR
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Zip | 00936-4961
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Country | US
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Telephone | 787-506-0800
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Fax | 787-506-0800
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Authorized Official
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Title or Position | PRESIDENTA
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Name | AIDA L L ORTIZ MARTINEZ
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Credential |
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Telephone | 787-506-0800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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