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General NPI Number Information
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NPI Number | 1134263288
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Entity Type | Organization
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Legal Business Name | CENTRO MEDICO AL CUIDADO DE LA MUJER, P.S.C.
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | D1 CALLE BALDORIOTY URB. PARADIS
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City | CAGUAS
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State | PR
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Zip | 00725-2655
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Country | US
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Telephone | 787-743-8084
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Fax | 787-258-0525
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Provider Business Mailing Address
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Address Line | PO BOX 6747
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City | CAGUAS
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State | PR
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Zip | 00726-6747
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Country | US
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Telephone | 787-743-8084
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Fax | 787-258-0525
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Authorized Official
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Title or Position | PRESIDENT OF THE CORPORATION
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Name | DR. LUIS G. FLORES-RIVERA
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Credential | M.D.
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Telephone | 787-743-8084
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 8541
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License Number State | PR
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