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General NPI Number Information
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NPI Number | 1790694743
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Entity Type | Organization
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Legal Business Name | PEACEFUL MINDS CENTRO PSICOLOGICO INTEGRAL, LLC.
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 117 CALLE CRUZ ORTIZ STELLA S # 117
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City | HUMACAO
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State | PR
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Zip | 00791-4110
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Country | US
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Telephone | 939-380-4410
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Fax |
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Provider Business Mailing Address
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Address Line | 377 CALLE RIO JACAGUAS ALTURAS DE HATO NUEVO
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City | GURABO
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State | PR
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Zip | 00778-8447
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Country | US
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Telephone | 939-380-4410
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SUEHAIL GUZMAN
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Credential | PSYCHOLOGIST
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Telephone | 939-380-4410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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