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NPI 1093509051

NPI 1093509051 : RESPIRO LLC : SAN JUAN, PR

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General NPI Number Information
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    NPI Number           |    1093509051
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    Entity Type          |    Organization 
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    Legal Business Name  |    RESPIRO LLC 
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Dates
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    Enumeration Date     |    04/07/2025
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    Last Update Date     |    04/07/2025
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Provider Practice Location Address
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    Address Line         |    369 CALLE DE DIEGO STE 506 
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    City                 |    SAN JUAN
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    State                |    PR
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    Zip                  |    00923-3156
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    Country              |    US
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    Telephone            |    787-756-8126
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    Fax                  |    787-751-5103
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Provider Business Mailing Address
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    Address Line         |    PO BOX 362498 
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    City                 |    SAN JUAN
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    State                |    PR
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    Zip                  |    00936-2498
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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    |    OWNER
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    Name                 |     PEDRO JUAN BAEZ 
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    Credential           |    MD
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    Telephone            |    787-756-8126
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RC0200X
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    Taxonomy Name        |    Critical Care Medicine (Internal 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        |    207RP1001X
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    Taxonomy Name        |    Pulmonary Disease Physician
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    License Number       |    
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    License Number State |    
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