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General NPI Number Information
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NPI Number | 1003593674
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Entity Type | Organization
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Legal Business Name | PR PULMONOLOGY AND CRITICAL CARE LLC
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Dates
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Enumeration Date | 07/05/2023
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Last Update Date | 07/05/2023
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Provider Practice Location Address
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Address Line | BO. MONACILLOS, PASEO DR. JOSE CELSO BARBOSA HOSPITAL MUNICIPAL DE SAN JUAN
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City | SAN JUAN
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State | PR
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Zip | 00921
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Country | US
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Telephone | 787-480-2700
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Fax |
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Provider Business Mailing Address
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Address Line | 35 CALLE JUAN C BORBON STE 67-294
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City | GUAYNABO
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State | PR
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Zip | 00969-5374
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KIMBERLY C PADILLA RODRIGUEZ
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Credential | MD
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Telephone | 787-428-7210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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