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NPI 1053645093

NPI 1053645093 : MANAGEMENT INTEGRATED SOLUTION : SAN JUAN, PR

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General NPI Number Information
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    NPI Number           |    1053645093
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    Entity Type          |    Organization 
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    Legal Business Name  |    MANAGEMENT INTEGRATED SOLUTION 
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Dates
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    Enumeration Date     |    09/23/2009
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    Last Update Date     |    01/16/2025
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Provider Practice Location Address
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    Address Line         |    530 AVE DE LA CONSTITUCION OFC CENTER 
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    City                 |    SAN JUAN
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    State                |    PR
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    Zip                  |    00901-2304
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    Country              |    US
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    Telephone            |    787-822-2305
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    Fax                  |    787-289-7814
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Provider Business Mailing Address
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    Address Line         |    PO BOX 16804 
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    City                 |    SAN JUAN
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    State                |    PR
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    Zip                  |    00908-6804
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    Country              |    US
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    Telephone            |    787-306-8356
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    Fax                  |    787-289-8715
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. ARCILIO  ALVARADO 
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    Credential           |    M.D.
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    Telephone            |    787-306-8356
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine 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        |    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 #4
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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 #5
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    Taxonomy Code        |    208100000X
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    Taxonomy Name        |    Physical Medicine & Rehabilitation Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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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 #7
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    Taxonomy Code        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    
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    License Number State |    
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Taxonomy #9
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #10
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    
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    License Number State |    
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