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General NPI Number Information
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NPI Number | 1952265266
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Entity Type | Organization
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Legal Business Name | VIDAS EN BALANCE
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Dates
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Enumeration Date | 12/11/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | LOS PINOS II G4 CALLE GAVIELA
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City | ARECIBO
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State | PR
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Zip | 00612-5974
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Country | US
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Telephone | 787-374-9005
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Fax |
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Provider Business Mailing Address
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Address Line | 445 CALLE GAVIELA
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City | ARECIBO
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State | PR
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Zip | 00612-5974
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Country | US
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Telephone | 787-374-9005
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Fax |
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Authorized Official
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Title or Position | PRESIDENTA
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Name | IVANYS PEREZ DELGADO
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Credential | LIC
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Telephone | 787-374-9005
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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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