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General NPI Number Information
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NPI Number | 1023008463
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Entity Type | Organization
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Legal Business Name | CARDIO HEALTH CSP
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Dates
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Enumeration Date | 10/26/2005
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Last Update Date | 05/01/2024
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Provider Practice Location Address
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Address Line | 3018 AVE ISLA VERDE
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City | CAROLINA
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State | PR
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Zip | 00979
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Country | US
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Telephone | 787-726-7438
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Fax | 787-726-2827
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Provider Business Mailing Address
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Address Line | PO BOX 79490
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City | CAROLINA
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State | PR
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Zip | 00984-9490
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Country | US
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Telephone | 787-726-7438
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Fax | 787-726-2827
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Authorized Official
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Title or Position | ACCESS MANAGER
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Name | ALFREDO VILA
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Credential |
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Telephone | 787-726-7438
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 12543
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License Number State | PR
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