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General NPI Number Information
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NPI Number | 1861282709
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Entity Type | Organization
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Legal Business Name | CENTRO PSYCOLOGICO DE PUERTO RICO CORP
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Dates
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Enumeration Date | 05/12/2025
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 43 CALLE FONT MARTELO
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City | HUMACAO
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State | PR
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Zip | 00791-3345
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Country | US
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Telephone | 939-437-1817
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Fax | 939-437-1817
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Provider Business Mailing Address
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Address Line | PO BOX 9121
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City | HUMACAO
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State | PR
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Zip | 00792-9121
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Country | US
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Telephone | 939-437-1817
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Fax | 939-437-1817
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Authorized Official
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Title or Position | PRESIDENTE
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Name | HECTOR ORTIZ ORTIZ
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Credential |
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Telephone | 939-437-1817
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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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