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General NPI Number Information
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NPI Number | 1124830252
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Entity Type | Organization
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Legal Business Name | ECOHEALTH MEDICAL CLINICS LLC
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Dates
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Enumeration Date | 01/24/2025
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | C 38 URB VILLA ROSALES CALLE 1
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City | AIBONITO
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State | PR
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Zip | 00705
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Country | US
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Telephone | 787-705-7979
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Fax |
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Provider Business Mailing Address
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Address Line | 117 ELEANOR ROOSEVELT TRES RIOS BUILDING SUITE 500
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City | SAN JUAN, PR
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State | PR
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Zip | 00918
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Country | US
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Telephone | 787-210-9816
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DAIARALIZ LOPEZ
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Credential |
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Telephone | 787-210-9816
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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