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General NPI Number Information
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NPI Number | 1023032661
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Entity Type | Organization
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Legal Business Name | CENTRO CARDIOVASCULAR DE CAROLINA
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 12/14/2007
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Provider Practice Location Address
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Address Line | 4AS3 VIA LETICIA VILLA FONTANA
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City | CAROLINA
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State | PR
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Zip | 00983-4801
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Country | US
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Telephone | 787-757-0825
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Fax | 787-762-2730
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Provider Business Mailing Address
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Address Line | PO BOX 195237
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City | SAN JUAN
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State | PR
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Zip | 00919-5237
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Country | US
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Telephone | 787-757-0825
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Fax | 787-762-2730
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. ROBERTO PEREZ-GUTIERREZ
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Credential | M.D.
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Telephone | 787-757-0825
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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 |
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License Number State |
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