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General NPI Number Information
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NPI Number | 1124362132
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Entity Type | Organization
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Legal Business Name | CALLE 5 PARTNERS
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Dates
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Enumeration Date | 11/15/2012
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Last Update Date | 11/15/2012
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Provider Practice Location Address
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Address Line | 728 AVE PONCE DE LEON LOCAL NUM. 3
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City | SAN JUAN
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State | PR
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Zip | 00918-4500
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Country | US
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Telephone | 787-593-6464
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Fax |
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Provider Business Mailing Address
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Address Line | 1353 AVE LUIS VIGOREAUX PMB 657
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City | GUAYNABO
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State | PR
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Zip | 00966-2715
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Country | US
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Telephone | 787-593-6464
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. MARIA CRISTINA ALVAREZ COX
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Credential |
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Telephone | 787-593-6464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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