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General NPI Number Information
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NPI Number | 1023818937
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Entity Type | Organization
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Legal Business Name | CENTRO MEDICO CABARETE
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Dates
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Enumeration Date | 03/18/2025
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | CARRETERA SOSUA-CABARETE KM 1
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City | SOSUA
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State | PUERTO PLATA
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Zip | 57000
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Country | DO
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Telephone | 809-571-4696
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Fax |
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Provider Business Mailing Address
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Address Line | 1451 W CYPRESS CREEK RD STE 206
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-1953
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Country | US
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Telephone | 954-568-4060
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | ROBERTO SPITALE REALE
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Credential | MD
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Telephone | 809-571-4696
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QE0800X
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Taxonomy Name | Endoscopy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 261QC0050X
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Taxonomy Name | Critical Access Hospital Clinic/Center
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License Number |
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License Number State |
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