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General NPI Number Information
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NPI Number | 1992687479
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Entity Type | Organization
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Legal Business Name | CLINICA MULTIDISCIPLINARIA DE LA MONTANA LLC
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Dates
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Enumeration Date | 07/24/2025
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 10 AVE ESTEVES
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City | UTUADO
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State | PR
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Zip | 00641-3025
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Country | US
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Telephone | 787-481-1599
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Fax |
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Provider Business Mailing Address
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Address Line | 12 AVE ROLANDO CABANAS VALLS
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City | UTUADO
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State | PR
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Zip | 00641-2491
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Country | US
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Telephone | 787-481-1599
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Fax |
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Authorized Official
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Title or Position | PSICOLOGA CLINICA
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Name | ROSA WALKIRIA RIVERA
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Credential | PSYD
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Telephone | 787-481-1599
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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