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General NPI Number Information
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NPI Number | 1982596094
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Entity Type | Organization
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Legal Business Name | CLINICA DE REHABILITACION NEUROCOGNITIVA
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Dates
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Enumeration Date | 07/15/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | PARQUE INDUSTRIAL VILLA BLANCA CARR #1 EDIFICIO BAIROA LOCAL 135
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City | CAGUAS
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State | PR
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Zip | 00725
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Country | US
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Telephone | 787-258-5394
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Fax |
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Provider Business Mailing Address
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Address Line | 10 CALLE AQUAMARINA
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City | CAGUAS
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State | PR
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Zip | 00725-1957
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Country | US
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Telephone | 787-258-5394
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DENISE L MENDOZA
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Credential |
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Telephone | 939-252-1553
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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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Taxonomy #2
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Taxonomy Code | 152WV0400X
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Taxonomy Name | Vision Therapy Optometrist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 225XM0800X
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Taxonomy Name | Mental Health Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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