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General NPI Number Information
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NPI Number | 1841116621
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Entity Type | Organization
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Legal Business Name | CQD LLC
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Dates
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Enumeration Date | 06/26/2026
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Last Update Date | 06/26/2026
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Provider Practice Location Address
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Address Line | 7 EMETERIO BETANCES, EDIF. ACHILLA CABRERA, MAYAGUEZ
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City | MAYAGUEZ
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State | PR
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Zip | 00680
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Country | US
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Telephone | 787-436-4848
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Fax |
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Provider Business Mailing Address
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Address Line | URB. PARAISO DE MAYAGUEZ, CALLE LEALTAD 118
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City | MAYAGUEZ
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State | PR
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Zip | 00680
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Country | US
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Telephone | 787-436-4848
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSE DIAZ MIRANDA
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Credential | MD
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Telephone | 787-436-4848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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