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General NPI Number Information
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NPI Number | 1053535898
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Entity Type | Organization
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Legal Business Name | CENTRO DE MEDICINA Y CIRUGIA
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | APARTADO 1900
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City | CAGUAS
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State | PR
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Zip | 00726-1900
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Country | US
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Telephone | 787-764-5655
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Fax | 787-764-5265
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Provider Business Mailing Address
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Address Line | PO BOX 1900
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City | CAGUAS
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State | PR
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Zip | 00726-1900
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Country | US
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Telephone | 787-764-5655
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Fax | 787-764-5265
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. FRANCISCO J OLIVERA
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Credential | ESQUIRE
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Telephone | 787-783-2245
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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