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General NPI Number Information
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NPI Number | 1033933569
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Entity Type | Organization
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Legal Business Name | SERVICIOS MEDICOS INTEGRADOS DE FAJARDO, P.S.C.
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Dates
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Enumeration Date | 11/12/2024
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | AVE OSVALDO MOLINA ESQUINA GENERAL VALERO #375
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City | FAJARDO
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State | PR
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Zip | 00738
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Country | US
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Telephone | 787-863-7646
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 827
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City | FAJARDO
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State | PR
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Zip | 00738
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Country | US
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Telephone | 787-863-7646
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Fax |
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Authorized Official
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Title or Position | ADMINISTRADORA
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Name | OLGA GUERRERO
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Credential | MD
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Telephone | 787-863-7646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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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 | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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