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General NPI Number Information
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NPI Number | 1003171174
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Entity Type | Organization
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Legal Business Name | CENTRO RADIOLOGICO INDUSTRIAL DE CAGUAS PSC
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Dates
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Enumeration Date | 07/05/2012
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Last Update Date | 07/05/2012
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Provider Practice Location Address
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Address Line | CORP FSE AVE LUIS MUNOZ MARIN EDIF MERCANTIL
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City | CAGUAS
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State | PR
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Zip | 00727
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Country | US
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Telephone | 787-625-1192
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Fax | 787-625-1195
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Provider Business Mailing Address
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Address Line | PO BOX 20160
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City | SAN JUAN
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State | PR
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Zip | 00928-0160
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Country | US
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Telephone | 787-625-1192
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Fax | 787-625-1195
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EMILIO TORRES
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Credential |
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Telephone | 787-257-6800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | 2632
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License Number State | PR
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