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General NPI Number Information
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NPI Number | 1053129536
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Entity Type | Organization
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Legal Business Name | UTUADO SONOGRAPHY CENTER
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Dates
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Enumeration Date | 12/30/2024
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Last Update Date | 01/05/2025
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Provider Practice Location Address
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Address Line | 79 CALLE DR CUETO
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City | UTUADO
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State | PR
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Zip | 00641-2804
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Country | US
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Telephone | 787-485-7162
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Fax |
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Provider Business Mailing Address
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Address Line | HC 4 BOX 9213
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City | UTUADO
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State | PR
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Zip | 00641-7718
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Country | US
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Telephone | 787-485-7162
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | IVANIS N RIVERA SERRANO
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Credential |
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Telephone | 787-485-7162
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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