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General NPI Number Information
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NPI Number | 1104389840
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Entity Type | Organization
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Legal Business Name | METRO TOA BAJA INC.
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Dates
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Enumeration Date | 04/10/2019
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | AVE SABANA SECA VIA PRIMAVERA
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City | TOA BAJA
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State | PR
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Zip | 00949
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Country | US
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Telephone | 787-230-7530
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Fax |
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Provider Business Mailing Address
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Address Line | 400 CALLE CALAF PMB 455
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City | SAN JUAN
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State | PR
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Zip | 00918
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Country | US
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Telephone | 787-230-7530
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Fax |
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Authorized Official
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Title or Position | VP OPERACIONAL SENIOR
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Name | MRS. MARIA LOPEZ
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Credential |
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Telephone | 787-280-7530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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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 | 207N00000X
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Taxonomy Name | Dermatology 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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism 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 | 207RG0100X
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Taxonomy Name | Gastroenterology 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 | 207RR0500X
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Taxonomy Name | Rheumatology 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 | 2084N0400X
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Taxonomy Name | Neurology 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 | 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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