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General NPI Number Information
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NPI Number | 1043411101
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Entity Type | Organization
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Legal Business Name | GRUPO MEDICO SAN JUAN HEALTH CENTRE
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | AVE. DE DIEGO #150 SAN JUAN HEALTH CENTRE SUITE 607
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City | SAN JUAN
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State | PR
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Zip | 00911
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Country | US
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Telephone | 787-721-8000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 365026
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City | SAN JUAN
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State | PR
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Zip | 00936-5026
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Country | US
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Telephone | 787-721-8000
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | JUAN C RAMOS
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Credential | MD
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Telephone | 787-721-8000
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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 | PR
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