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General NPI Number Information
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NPI Number | 1063639755
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Entity Type | Organization
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Legal Business Name | CENTRO DE ESPECIALISTAS CUIDAD DEL YUNQUE
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | VILLAS DE RIO GRANDE CALLE GARCIA DE LA NOCEDA B 23
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City | RIO GRANDE
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State | PR
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Zip | 00745
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Country | US
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Telephone | 787-888-5406
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Fax | 787-888-5406
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Provider Business Mailing Address
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Address Line | PO BOX 2276
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City | RIO GRANDE
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State | PR
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Zip | 00745-2276
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Country | US
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Telephone | 787-888-5406
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Fax | 787-888-5406
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Authorized Official
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Title or Position | MANAGER
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Name | DR. ANA M APONTE ALVARADO
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Credential | MD
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Telephone | 787-888-5406
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 10780
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License Number State | PR
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