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General NPI Number Information
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NPI Number | 1073259925
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Entity Type | Organization
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Legal Business Name | CARIBBEAN HEART AND IMAGE CENTER
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Dates
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Enumeration Date | 05/12/2022
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Last Update Date | 05/25/2023
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Provider Practice Location Address
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Address Line | CARR. #1 VILLA BLANCA INDUSTRIAL PARK SUITE 115, PLAZA BAIROA
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City | CAGUAS
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State | PR
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Zip | 00725
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Country | US
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Telephone | 939-715-0050
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Fax | 877-736-2593
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Provider Business Mailing Address
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Address Line | PO BOX 191855
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City | SAN JUAN
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State | PR
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Zip | 00919-1855
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ELECTROPHYSIOLOGIST
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Name | DR. LUIS ALBERTO JIMENEZ REYES
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Credential | MD
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Telephone | 787-633-4263
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number |
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License Number State |
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