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General NPI Number Information
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NPI Number | 1790677847
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Entity Type | Individual
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Provider Name | MARILYN SANTIAGO QUINONES PSICOLOGA CLINICA
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Gender | Female
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Dates
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Enumeration Date | 07/15/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | BARRIO PUEBLO PARCELAS SANTA ROSA 1951 CALLE AMBROSIO PADILLA
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City | HATILLO, PR
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State | PR
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Zip | 00659
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Country | US
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Telephone | 939-301-2791
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Fax |
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Provider Business Mailing Address
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Address Line | 1951 CALLE AMBROSIO PADILLA
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City | HATILLO, PR
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State | PR
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Zip | 00659
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Country | US
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Telephone | 939-301-2791
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 8574
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License Number State | PR
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