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General NPI Number Information
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NPI Number | 1114341864
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Entity Type | Organization
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Legal Business Name | HP MEDICAL SERVICES P.S.C
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Dates
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Enumeration Date | 02/14/2014
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Last Update Date | 02/14/2014
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Provider Practice Location Address
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Address Line | K-CQ ST. SUITE 104 POCE CASH & CARRY URB. STA. TERESITA
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City | PONCE
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State | PR
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Zip | 00730
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Country | US
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Telephone | 787-207-0567
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Fax |
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Provider Business Mailing Address
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Address Line | 3062 BUENOS AIRES ST. BARRIO BELGICA
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City | PONCE
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State | PR
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Zip | 00717
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Country | US
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Telephone | 787-207-0567
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSE MIGUEL LOPEZ- LOPEZ
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Credential | M.D.
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Telephone | 787-207-0567
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 17683
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License Number State | PR
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