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General NPI Number Information
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NPI Number | 1043348766
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Entity Type | Organization
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Legal Business Name | CIALES, LA ESTRELLA INC.
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 02/16/2018
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Provider Practice Location Address
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Address Line | 22 CALLE PALMER
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City | CIALES
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State | PR
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Zip | 00638-3233
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Country | US
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Telephone | 787-871-2155
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Fax | 787-871-1593
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Provider Business Mailing Address
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Address Line | PO BOX 1403
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City | CIALES
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State | PR
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Zip | 00638-1403
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Country | US
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Telephone | 787-871-2155
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Fax | 787-871-1593
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. ROSANGELA RODRIGUEZ
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Credential | BSPH
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Telephone | 787-871-2155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 07F2317
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License Number State | PR
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