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General NPI Number Information
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NPI Number | 1104492412
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Entity Type | Organization
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Legal Business Name | INTER AMERICAN UNIVERSITY OF PUERTO RICO
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Dates
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Enumeration Date | 05/28/2021
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Last Update Date | 03/30/2022
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Provider Practice Location Address
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Address Line | BO. MACHETE CARR. 744 KM 1.2
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City | GUAYAMA
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State | PR
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Zip | 00784
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Country | US
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Telephone | 787-864-2222
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Fax | 787-866-1176
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Provider Business Mailing Address
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Address Line | PO BOX 10004
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City | GUAYAMA
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State | PR
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Zip | 00785-4004
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Country | US
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Telephone | 787-864-3420
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Fax | 787-866-1176
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Authorized Official
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Title or Position | AUXILIARY DEAN
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Name | CYNTHIA DENISE RODRIGUEZ
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Credential | MBA
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Telephone | 787-864-2222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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