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NPI 1043564156

NPI 1043564156 : ROIG HEALTH CARE MANAGEMENT, LLC. : VEGA BAJA, PR

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General NPI Number Information
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    NPI Number           |    1043564156
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    Entity Type          |    Organization 
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    Legal Business Name  |    ROIG HEALTH CARE MANAGEMENT, LLC. 
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Dates
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    Enumeration Date     |    10/29/2012
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    Last Update Date     |    03/02/2017
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Provider Practice Location Address
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    Address Line         |    81 CALLE PASEO AVENIDA VILLA PINARES
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    City                 |    VEGA BAJA
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    State                |    PR
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    Zip                  |    00693
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    Country              |    US
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    Telephone            |    787-858-2416
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 953 
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    City                 |    MOROVIS
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    State                |    PR
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    Zip                  |    00687-0953
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    Country              |    US
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    Telephone            |    787-862-4417
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    Fax                  |    
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |    MRS. ALBA JUDITH IGLESIAS 
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    Credential           |    
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    Telephone            |    787-862-4417
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology 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        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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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        |    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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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       |    1043564056
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    License Number State |    PR
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