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General NPI Number Information
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NPI Number | 1871164129
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Entity Type | Individual
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Provider Name | KENDRA ALVAREZ- SANTIAGO LPSYC
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Gender | Female
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Dates
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Enumeration Date | 07/08/2021
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | C/REVERENDO DOMINGO MARRERO NAVARRO B CALLE REVERENDO DOMINGO MARRERO NAVARRO B
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City | BAYAMON
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State | PR
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Zip | 00961
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Country | US
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Telephone | 787-639-7977
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Fax |
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Provider Business Mailing Address
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Address Line | W-23 BAYAMON GARDENS CALLE 18
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City | BAYAMON
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State | PR
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Zip | 00957
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Country | US
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Telephone | 787-604-2141
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Fax | 787-639-7977
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 6955
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 25219
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License Number State | PR
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