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General NPI Number Information
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NPI Number | 1831075886
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Entity Type | Organization
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Legal Business Name | MENTAL CORP
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Dates
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Enumeration Date | 08/14/2025
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 800 CALLE HIPODROMO STE 102
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City | SAN JUAN
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State | PR
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Zip | 00909-2504
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Country | US
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Telephone | 787-646-5505
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Fax |
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Provider Business Mailing Address
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Address Line | 1790 CALLE JULIO AYBAR
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City | SAN JUAN
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State | PR
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Zip | 00921-4410
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Country | US
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Telephone | 787-646-5505
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. INGRID C MARIN
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Credential | PSY.D
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Telephone | 787-646-5505
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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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