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General NPI Number Information
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NPI Number | 1023932977
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Entity Type | Organization
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Legal Business Name | SICA MEDICAL LLC
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Dates
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Enumeration Date | 08/05/2026
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Last Update Date | 08/05/2026
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Provider Practice Location Address
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Address Line | CARR. 189 KM 24.2 BO. COLLORES
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City | LAS PIEDRAS
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State | PR
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Zip | 00771
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Country | US
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Telephone | 787-486-6180
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Fax |
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Provider Business Mailing Address
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Address Line | 340 CALLE CAOBA URB. LOS SAUCES
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City | HUMACAO
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State | PR
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Zip | 00791-4911
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Country | US
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Telephone | 787-486-6180
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JESSICA SIFUENTES CARRASQUILLO
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Credential | MD
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Telephone | 787-486-6180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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