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General NPI Number Information
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NPI Number | 1114178993
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Entity Type | Organization
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Legal Business Name | CORPORACION COAMENA DE LA SALUD
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Dates
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Enumeration Date | 10/09/2008
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Last Update Date | 10/09/2008
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Provider Practice Location Address
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Address Line | 20 CALLE BALDORIOTY
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City | COAMO
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State | PR
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Zip | 00769-2411
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Country | US
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Telephone | 787-825-4558
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Fax | 787-825-6422
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Provider Business Mailing Address
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Address Line | PO BOX 2290
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City | COAMO
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State | PR
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Zip | 00769-4290
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Country | US
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Telephone | 787-825-4558
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Fax | 787-825-6422
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ORLANDO TORRES
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Credential | M.D.
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Telephone | 787-825-4558
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 10535
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License Number State | PR
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