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General NPI Number Information
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NPI Number | 1053574301
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Entity Type | Organization
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Legal Business Name | NUCLEAR MEDICINE ASSOCIATE,P.S.C.
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Dates
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Enumeration Date | 07/08/2008
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Last Update Date | 10/08/2008
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Provider Practice Location Address
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Address Line | AVE PEDRO ALBIZU CAMPOS HOSPITAL CRISTO REDENTOR
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City | GUAYAMA
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State | PR
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Zip | 00785
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Country | US
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Telephone | 787-864-4300
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 800389
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City | COTO LAUREL
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State | PR
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Zip | 00780-0389
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Country | US
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Telephone | 787-844-2435
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Fax |
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Authorized Official
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Title or Position | PRESIDENTE
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Name | DR. MIGUEL A SERPA PEREZ
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Credential |
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Telephone | 787-844-2435
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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License Number | 011786
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License Number State | PR
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