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General NPI Number Information
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NPI Number | 1104630060
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Entity Type | Organization
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Legal Business Name | HOSPITAL MEDICA CANCUN
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | AVENIDA NICHUPTE
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City | CANCUN
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State | QUINTANA ROO
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Zip | 77533
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Country | MX
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Telephone | 998-364-4662
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 11597
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City | FORT LAUDERDALE
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State | FL
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Zip | 33339-1597
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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 | MANAGER
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Name | FABIAN CRISTOBAL
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Credential |
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Telephone | 998-364-4661
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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