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General NPI Number Information
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NPI Number | 1023349339
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Entity Type | Organization
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Legal Business Name | RADIOLOGIA DEL TURABO, C.S.P.
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Dates
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Enumeration Date | 01/26/2010
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Last Update Date | 12/16/2022
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Provider Practice Location Address
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Address Line | 50 AVE LUIS MUNOZ MARIN SUITES 207-209, 107-108, 103-104, 106
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City | CAGUAS
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State | PR
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Zip | 00725-3975
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Country | US
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Telephone | 787-746-1610
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Fax | 787-703-0010
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Provider Business Mailing Address
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Address Line | PO BOX 1778
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City | CAGUAS
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State | PR
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Zip | 00726-1778
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Country | US
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Telephone | 787-746-1610
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Fax | 787-703-0010
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Authorized Official
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Title or Position | VICE-PRESIDENT
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Name | DR. ROBERTO L GONZALEZ SALA
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Credential | M.D.
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Telephone | 787-746-1610
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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 |
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 261QR0206X
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Taxonomy Name | Mammography Clinic/Center
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License Number |
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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