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General NPI Number Information
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NPI Number | 1144136045
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Entity Type | Organization
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Legal Business Name | CENTRO DE SALUD DE LARES, INC
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Dates
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Enumeration Date | 08/20/2026
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Last Update Date | 08/20/2026
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Provider Practice Location Address
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Address Line | 7 AVE JUAN HERNANDEZ ORTIZ LOCAL COMERCIAL PRIMER NIVEL LA ISABELA SHOPPING CENTER
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City | ISABELA
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State | PR
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Zip | 00662-9998
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Country | US
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Telephone | 787-897-2727
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Fax | 787-897-2725
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Provider Business Mailing Address
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Address Line | PO BOX 379
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City | LARES
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State | PR
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Zip | 00669-0379
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Country | US
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Telephone | 787-897-2727
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Fax | 787-897-2725
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Authorized Official
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Title or Position | BILLING SUPERVISOR
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Name | GLORINIC GONZALEZ
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Credential |
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Telephone | 787-897-2727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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