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General NPI Number Information
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NPI Number | 1124499579
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Entity Type | Organization
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Legal Business Name | MEDICAL SERVICES & CONSULTING CORP
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Dates
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Enumeration Date | 10/12/2015
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Last Update Date | 10/12/2015
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Provider Practice Location Address
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Address Line | C5 CALLE VICTOR TORRES LOCAL 1 URB VALENCIA II
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City | JUNCOS
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State | PR
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Zip | 00777
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Country | US
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Telephone | 787-561-7768
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Fax | 787-561-7768
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Provider Business Mailing Address
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Address Line | PO BOX 9966
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City | CIDRA
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State | PR
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Zip | 00739-8966
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Country | US
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Telephone | 787-603-8888
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Fax | 787-561-7768
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JORGE YAMIL REYES
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Credential | MD
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Telephone | 787-603-8888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 15602
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License Number State | PR
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